Benjamin Eye Care

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

BENJAMIN EYE CARE

Doing business as

Benjamin Eye Care

Practice address

5201 Willow Springs Rd
Suite 450
La Grange Highlands, IL 60525-6537

Phone

(708) 354-2008

Fax

(708) 354-2092

NPI assigned

Jan 12, 2007

Last updated

May 27, 2009By 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. Mark J Benjamin, MDNPI 1366433138

Title

Physician

Phone

(708) 354-2008

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Benjamin Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark J Benjamin, MD

  • Ophthalmology Physician
  • La Grange Highlands, IL
  • NPI 1366433138
  Medicare reassignment NPD Authorized official
• Noreen Shaikh

  • Optometrist
  • Chicago, IL
  • NPI 1871975706
  Medicare reassignment NPD
• Kamran Mohammed Riaz, M.D.

  • Cornea and External Diseases Specialist Physician
  • Oklahoma City, OK
  • NPI 1326276965

  IL, Ophthalmology

  Medicare reassignment NPD
• Bruce Duane Fick, MD

  • Ophthalmology Physician
  • La Grange Highlands, IL
  • NPI 1134110422
  NPD (past)
• Kathleen M Morno, M.D.

  • Ophthalmology Physician
  • North Riverside, IL
  • NPI 1942247770
  NPD (past)
• Sophia Sarkos, MD

  • Ophthalmology Physician
  • Downers Grove, IL
  • NPI 1720017643
  NPD (past)
• Rand Diab, M.D.

  • Ophthalmology Physician
  • Munster, IN
  • NPI 1437105996
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243382400000",
    "number": "1215087986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 WILLOW SPRINGS RD",
            "address_2": "SUITE 450",
            "city": "LA GRANGE HIGHLANDS",
            "state": "IL",
            "postal_code": "605256537",
            "telephone_number": "708-354-2008",
            "fax_number": "708-354-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 WILLOW SPRINGS RD",
            "address_2": "SUITE 450",
            "city": "LA GRANGE HIGHLANDS",
            "state": "IL",
            "postal_code": "605256537",
            "telephone_number": "708-354-2008",
            "fax_number": "708-354-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2009-05-27",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "708-354-2008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1628903",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benjamin Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Afzal Ahmad, CSA
• Jyotika C Amin, RPH
• Azita Ardakani, M.D.
• Leonor De Asis Banez, NP-C
• Benjamin Eye Care
• Mark J Benjamin, MD
• Sami M Bittar, M.D.
• Barbara T Borgione, PA-C
• Charles K Brown, M.D.
• Bruce W. Hallmann, M.D.S.C.

• Ophthalmology Physician in La Grange Highlands, IL
• Providers in La Grange Highlands, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; 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.

Verify at the official NPI Registry.