Individual provider Active NPI

Eric Jason Bender, O.D.

  • Optometrist
  • North Tustin, CA
National Provider Identifier
1184649519
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11860T Issued in CA
Practice address
13972 Laurinda Way
North Tustin, CA 92705-2640
Phone
(714) 832-1288
NPI assigned
Jul 13, 2006
Last updated
May 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11860T CA Primary

Addresses

Primary practice location

13972 Laurinda Way
North Tustin, CA 92705-2640

Mailing address

13972 Laurinda Way
North Tustin, CA 92705-2640
Phone (714) 832-1288

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20041008000232 CA Practitioner - Optometry 5597724153 Practice locations: North Tustin, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13972 Laurinda Way
North Tustin, CA 92705-2640
Phone (714) 832-1288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11860TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Aaron M Sako a Professional Optometric Corp Optometrist Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1184649519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13972 LAURINDA WAY",
            "city": "NORTH TUSTIN",
            "state": "CA",
            "postal_code": "927052640",
            "telephone_number": "714-832-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13972 LAURINDA WAY",
            "city": "NORTH TUSTIN",
            "state": "CA",
            "postal_code": "927052640",
            "telephone_number": "714-832-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDER",
        "first_name": "ERIC",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11860T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Tustin, CA

Sources for this page

Verify at the official NPI Registry.