Individual provider Active NPI

Steven Isaac Bench, O.D.

  • Optometrist
  • Buffalo, NY
National Provider Identifier
1295800274
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
V00-4882 Issued in NY
Practice address
324 W Ferry St
Buffalo, NY 14213-1957
Phone
(716) 883-4747
Fax
(716) 883-4764
NPI assigned
Nov 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X V00-4882 NY Primary

Addresses

Primary practice location

324 W Ferry St
Buffalo, NY 14213-1957

Mailing address

17 Mapleview Dr
Amherst, NY 14226-2848
Phone (716) 837-9876

Other identifiers 1

IdentifierTypeStateIssuer
01914167MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110915000390 NY Practitioner - Optometry 2062683485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

151 Buffalo Ave
Apt 211
Niagara Falls, NY 14303-1200
Phone (716) 284-9449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
V00-4882NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Steven I Bench OD, PC Optometrist CurrentSince Jul 28, 2021 Accepting new patients
Steven I Bench OD, PC Optometrist CurrentSince Jul 28, 2021 Accepting new patients

Organizations & group practices 2

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": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295800274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 MAPLEVIEW DR",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142262848",
            "telephone_number": "716-837-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 W FERRY ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142131957",
            "telephone_number": "716-883-4747",
            "fax_number": "716-883-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENCH",
        "first_name": "STEVEN",
        "middle_name": "ISAAC",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "V00-4882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01914167",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.