NPIMap

Organization Active NPI

Cheryl L. Bennett OD, PLLC

Doing business as Spectacle Family Eye Care

  • Optometrist
  • Buckhannon, WV
National Provider Identifier
1295269074
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
984-IOD Issued in WV
Legal business name
CHERYL L. BENNETT OD, PLLC
Doing business as
Spectacle Family Eye Care
Practice address
100 Buckhannon
Buckhannon, WV 26201-8422
Phone
(304) 472-7703
Fax
(304) 472-8088
NPI assigned
Apr 18, 2017
Last updated
Jun 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Authorized official

Name
Cheryl Lyn Bennett, ODNPI 1245303213
Title
Owner
Phone
(304) 472-7703

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 984-IOD WV Primary

Addresses

Primary practice location

100 Buckhannon
Buckhannon, WV 26201-8422

Mailing address

28 Virginia Ave
Petersburg, WV 26847-1740
Phone (304) 472-7703

Other names 1

  • Spectacle Family Eye Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cheryl L Bennett OD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

100 Buckhannon Xrds
Buckhannon, WV 26201
Phone (304) 472-0834

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592870400000",
    "number": "1295269074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 VIRGINIA AVE",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "268471740",
            "telephone_number": "304-472-7703",
            "fax_number": "304-472-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BUCKHANNON",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262018422",
            "telephone_number": "304-472-7703",
            "fax_number": "304-472-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERYL L. BENNETT OD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-472-7703",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "984-IOD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectacle Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spectacle Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buckhannon, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.