Active NPI
Richard H Benninger MD PC
- Ophthalmology Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 4301030073
- Legal business name
- RICHARD H BENNINGER MD PC
- Practice address
- 833 Michigan St NE Ste 101
Grand Rapids, MI 49503-2578 - Phone
- (616) 459-3713
- Fax
- (616) 459-3716
- NPI assigned
- Oct 27, 2006
- Last updated
- Nov 19, 2018
- 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
- Dr. Richard Hugh Benninger, MD
- Title
- Ophthalmologist
- Phone
- (616) 459-3713
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901003291 | MI | |
| Ophthalmology Physician | 207W00000X | 4301030073 | MI | Primary |
Addresses
Primary practice location
833 Michigan St NE Ste 101
Grand Rapids, MI 49503-2578
Mailing address
833 Michigan St NE Ste 101
Grand Rapids, MI 49503-2578
Phone (616) 459-3713
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
426 Michigan St NE
Ste 101
Grand Rapids, MI 49503
Phone (616) 456-7294
Practitioners & affiliated clinicians
Practitioners 9
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.
-
- Ophthalmology Physician
- Grand Rapids, MI
- NPI 1275530909
-
- Optometrist
- Lowell, MI
- NPI 1144272618
-
- Optometrist
- Kentwood, MI
- NPI 1558404152
-
- Optometrist
- Farmington Hills, MI
- NPI 1780971101
-
- Optometrist
- Caledonia, MI
- NPI 1184283285
-
- Optometrist
- Grand Rapids, MI
- NPI 1083902845
-
- Ophthalmology Physician
- Wyoming, MI
- NPI 1023074879
-
- Optometrist
- Grand Rapids, MI
- NPI 1831230150
-
- Optometrist
- Rockford, MI
- NPI 1013909415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1542585600000",
"number": "1275618068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 MICHIGAN ST NE STE 101",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032578",
"telephone_number": "616-459-3713",
"fax_number": "616-459-3716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 MICHIGAN ST NE STE 101",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032578",
"telephone_number": "616-459-3713",
"fax_number": "616-459-3716"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD H BENNINGER MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-27",
"last_updated": "2018-11-19",
"status": "A",
"authorized_official_last_name": "BENNINGER",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "HUGH",
"authorized_official_title_or_position": "OPHTHALMOLOGIST",
"authorized_official_telephone_number": "616-459-3713",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901003291",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MI",
"license": "4301030073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.