Active NPI
Bennett Optometry LLC
- Optometrist
- Saline, MI
National Provider Identifier
1194336446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- BENNETT OPTOMETRY LLC
- Practice address
- 557 E Michigan Ave Ste a
Saline, MI 48176-1588 - Phone
- (734) 429-4885
- NPI assigned
- Aug 11, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Wachter, OD
- Title
- Cmo
- Phone
- (636) 200-4393
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
557 E Michigan Ave Ste a
Saline, MI 48176-1588
Mailing address
PO Box 208177
Dallas, TX 75320-8177
Phone (636) 200-4393
Other names 1
- Clarkson Eyecare
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Other NPIs on the same Medicare enrollment 19
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
555 E Michigan Ave
Saline, MI 48176
Phone (734) 429-4882
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Ann Arbor, MI
- NPI 1023530680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672876800000",
"number": "1194336446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 208177",
"city": "DALLAS",
"state": "TX",
"postal_code": "753208177",
"telephone_number": "636-200-4393",
"fax_number": "636-527-0766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "557 E MICHIGAN AVE STE A",
"city": "SALINE",
"state": "MI",
"postal_code": "481761588",
"telephone_number": "734-429-4885"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENNETT OPTOMETRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-11",
"last_updated": "2023-01-05",
"certification_date": "2023-01-05",
"status": "A",
"authorized_official_last_name": "WACHTER",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "CMO",
"authorized_official_telephone_number": "636-200-4393",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Clarkson Eyecare",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Clarkson Eyecare",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Saline, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.