Organization Active NPI

Seth Bernstein, O.D. & Lisa Benham, O.D., Inc

  • Optometrist
  • Yorba Linda, CA
National Provider Identifier
1174777361
Registry record updated Dec 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8671TLG Issued in CA
Legal business name
SETH BERNSTEIN, O.D. & LISA BENHAM, O.D., INC
Practice address
21520 Yorba Linda Blvd
Suite B
Yorba Linda, CA 92887-3762
Phone
(714) 777-7867
NPI assigned
Nov 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2009

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

Authorized official

Name
Dr. Seth Bernstein, O.D.NPI 1881653954
Title
Optometrist
Phone
(714) 777-7867

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 8671TLG CA Primary

Addresses

Primary practice location

21520 Yorba Linda Blvd
Suite B
Yorba Linda, CA 92887-3762

Mailing address

21520 Yorba Linda Blvd
Suite B
Yorba Linda, CA 92887-3762
Phone (714) 777-7867

National Provider Directory

National Provider Directory
Tax ID family
Seth Bernstein Lisa Benham2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1226620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259712000000",
    "number": "1174777361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21520 YORBA LINDA BLVD",
            "address_2": "SUITE B",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928873762",
            "telephone_number": "714-777-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21520 YORBA LINDA BLVD",
            "address_2": "SUITE B",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928873762",
            "telephone_number": "714-777-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SETH BERNSTEIN, O.D. & LISA BENHAM, O.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-14",
        "last_updated": "2009-12-02",
        "status": "A",
        "authorized_official_last_name": "BERNSTEIN",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "714-777-7867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8671TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.