Jaclyn Anne Benzoni, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV007403-1 Issued in NY

Practice address

2126 Merrick Mall
Merrick, NY 11566-3626

Phone

(516) 546-3227

NPI assigned

Jul 1, 2009

Last updated

Jul 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jaclyn Benzoni OD PCGroup PAC ID 8527346246, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jaclyn Benzoni OD PC

  • Optometrist
  • Merrick, NY
  • NPI 1538617790
  Medicare reassignment Care Compare group NPD Authorized official
• Jaclyn Benzoni OD PC

  • Optometrist
  • Babylon, NY
  • NPI 1871266411
  NPD Authorized official

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1205065935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2126 MERRICK MALL",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663626",
            "telephone_number": "516-546-3227",
            "fax_number": "516-546-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2126 MERRICK MALL",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663626",
            "telephone_number": "516-546-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENZONI",
        "first_name": "JACLYN",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007403-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Lynn Metzger Belson
• Faythe Lauren Ben-Haim, MA, ATR-BC, LCAT
• Susan Leslie Bendix, M.S.E.D.
• Kadizha Benjamin, CHIROPRACTOR
• Christopher Laverne Benson, LLC, L.MT.
• Matthew Bernardez, PHARM.D
• Senen Bernardo Jr., P.T.
• Regina Marie Bernie-Fauci, MS ED
• Amanda Jill Bernstein
• Hajira Husain Bidgoli, DMD

• Optometrist in Merrick, NY
• Providers in Merrick, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.