Stephen Bencho

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

STEPHEN BENCHO

Practice address

124 W Old Andrew Johnson Hwy
Jefferson City, TN 37760-1945

Phone

(865) 475-2657

Fax

(865) 475-2657

NPI assigned

Feb 22, 2008

Last updated

Mar 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Bencho Sr., OD

Title

Owner

Phone

(865) 475-2657

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1194994301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 327",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377600327",
            "telephone_number": "865-475-2657",
            "fax_number": "865-475-2657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 W OLD ANDREW JOHNSON HWY",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377601945",
            "telephone_number": "865-475-2657",
            "fax_number": "865-475-2657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN BENCHO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "BENCHO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-475-2657",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3518221",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "0656630001",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Martha Startup, PT
• Carol Steele, PH.D.
• Rachael Stephenson, PHARMD
• Teresa R. Stepp, AU.D
• Steven J Monroe DDS PC
• Still Waters Counseling Services
• Crystal L Stiltner, DO

• Optometrist in Jefferson City, TN
• Providers in Jefferson City, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.