Individual provider Active NPI

Andrew Benson, O.D.

  • Optometrist
  • Denver, CO
National Provider Identifier
1235544826
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0003058 Issued in CO
Practice address
5489 N Xenia St
Denver, CO 80238
Phone
(720) 295-5356
Fax
(720) 263-9142
NPI assigned
Jun 23, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.0003058 CO Primary

Addresses

Primary practice location

5489 N Xenia St
Denver, CO 80238

Mailing address

5489 N Xenia St
Denver, CO 80238-3870
Phone (720) 295-5356

Other practice location 1

1411 S Potomac St
Suite #140
Aurora, CO 80012-4536
Phone (303) 337-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20140915000420 CO Practitioner - Optometry 0749409365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5489 N Xenia St
Denver, CO 80238-3870
Phone (720) 295-5356

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.0003058COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Coverage of Colorado, LLC Optometrist CurrentSince Jun 23, 2017 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1235544826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5489 N XENIA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802383870",
            "telephone_number": "720-295-5356",
            "fax_number": "720-263-9142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5489 N XENIA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80238",
            "telephone_number": "720-295-5356",
            "fax_number": "720-263-9142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1411 S Potomac St",
            "address_2": "Suite #140",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800124536",
            "country_code": "US",
            "telephone_number": "303-337-3937",
            "fax_number": "303-337-2272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENSON",
        "first_name": "ANDREW",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-23",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.