Active NPI
Alan Jeffrey Bender, D.O.
- Optometrist
- Beachwood, OH
National Provider Identifier
1295906758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S.2932
- Practice address
- 2101 Richmond Rd
Beachwood, OH 44122-1391 - Phone
- (216) 464-5367
- Fax
- (216) 464-7795
- NPI assigned
- Mar 12, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | S.2932 | OH | Primary |
Addresses
Primary practice location
2101 Richmond Rd
Beachwood, OH 44122-1391
Mailing address
2101 Richmond Rd
Beachwood, OH 44122-1391
Phone (216) 464-5367
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.2932 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Les Lunettes Optique | Past | 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.
-
- Eyewear Supplier
- Beachwood, OH
- NPI 1366613820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205280000000",
"number": "1295906758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 RICHMOND RD",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441221391",
"telephone_number": "216-464-5367",
"fax_number": "216-464-7795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 RICHMOND RD",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441221391",
"telephone_number": "216-464-5367",
"fax_number": "216-464-7795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENDER",
"first_name": "ALAN",
"middle_name": "JEFFREY",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-12",
"last_updated": "2008-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "S.2932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.