Jerome Martin Benkel, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1394 Issued in AZ

Practice address

8100 E Camelback Rd
#155
Scottsdale, AZ 85251-2773

Phone

(480) 313-3934

Fax

(937) 294-3064

NPI assigned

Aug 11, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164424941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2762 WILMINGTON PIKE",
            "address_2": "8100 E CAMELBACK RD #155",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85251",
            "telephone_number": "480-313-3934",
            "fax_number": "937-294-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 E CAMELBACK RD",
            "address_2": "#155",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852512773",
            "telephone_number": "480-313-3934",
            "fax_number": "937-294-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENKEL",
        "first_name": "JEROME",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "2755",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benevolent Mental Health Services (Pacc Mental Health Services)
• Benjamin I Rosin, MD PC
• Briyona Benjamin
• Diana Benjamin
• Tonya R Benjamin, N.P.
• Berkley H Benneson, MD
• Ian George David Bennett, D.M.D.
• Sarah Cecilia Bennett, NMD
• Shannon Colleen Bennett
• Josephine Bennion

• Optometrist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.