Organization Active NPI

Steven I Bench OD, PC

  • Optometrist
  • Buffalo, NY
National Provider Identifier
1174700793
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
V003048 1 Issued in NY
Legal business name
STEVEN I BENCH OD, PC
Doing business as
2020 Westside Eye Care
Practice address
324 West Ferry Street
Buffalo, NY 14213-1957
Phone
(716) 883-4747
Fax
(716) 883-4764
NPI assigned
Jan 25, 2008
Organization subpart
Yes
Parent organization
STEVEN I BENCH OD, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Dr. Steven Isaac BenchNPI 1295800274
Title
Owner
Phone
(716) 883-4747

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X V003048 1 NY Primary

Addresses

Primary practice location

324 West Ferry Street
Buffalo, NY 14213-1957

Mailing address

324 W Ferry St
Buffalo, NY 14213-1957
Phone (716) 883-4747

Other identifiers 1

IdentifierTypeStateIssuer
01914167MedicaidNY

Other names 1

  • 2020 Westside Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211118000328 NY Part B Supplier - Clinic/Group Practice 7113316860 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Buffalo, NY; Niagara Falls, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Steven I Bench OD PC2 organizations share this tax ID, including this one
Part of
Steven I Bench OD PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1174700793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 W FERRY ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142131957",
            "telephone_number": "716-883-4747",
            "fax_number": "716-883-4764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 WEST FERRY STREET",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142131957",
            "telephone_number": "716-883-4747",
            "fax_number": "716-883-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN I BENCH OD, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEVEN I BENCH OD, PC",
        "enumeration_date": "2008-01-25",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "BENCH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ISAAC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-883-4747",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "V003048 1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01914167",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "2020 Westside Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.