Individual provider Active NPI

Mary Jo Benyo, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Wyoming, MI
National Provider Identifier
1154461440
Registry record updated Sep 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
1601000333 Issued in MI
Practice address
2225 Main St SW
Suite #140
Wyoming, MI 49519-9697
Phone
(616) 538-8220
Fax
(616) 538-8991
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 1601000333 MI Primary

Addresses

Primary practice location

2225 Main St SW
Suite #140
Wyoming, MI 49519-9697

Mailing address

2225 Main St SW
Suite #140
Wyoming, MI 49519-9697
Phone (616) 538-8220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration Eye Care PLLC PastSince Aug 27, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220313600000",
    "number": "1154461440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 MAIN ST SW",
            "address_2": "SUITE #140",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199697",
            "telephone_number": "616-538-8220",
            "fax_number": "616-538-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 MAIN ST SW",
            "address_2": "SUITE #140",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199697",
            "telephone_number": "616-538-8220",
            "fax_number": "616-538-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENYO",
        "first_name": "MARY JO",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2008-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MI",
            "license": "1601000333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.