Benjamin Emer, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

342835 Issued in WI

Practice address

3612 Roosevelt Rd
Kenosha, WI 53142-7230

Phone

(262) 652-1689

NPI assigned

Jul 9, 2016

Last updated

Jul 9, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emer Eye Care SCGroup PAC ID 0749561801, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emer Eye Care S.C.

  • Optometrist
  • Kenosha, WI
  • NPI 1871036061
  Medicare reassignment Care Compare group NPD
• Peter L. Emer, O.D.

  • Optometrist
  • Kenosha, WI
  • NPI 1558598870
  NPD (past)

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

{
    "created_epoch": "1468022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468022400000",
    "number": "1306298724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 77TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531436027",
            "telephone_number": "262-455-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 ROOSEVELT RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427230",
            "telephone_number": "262-652-1689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMER",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-09",
        "last_updated": "2016-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "342835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Ellsworth, APNP
• Joshua Knute Elson, MD, MPH
• Christopher Aaron Elwell, DPT
• Ember and Oak
• Emer Eye Care S.C.
• Peter L Emer, O.D.
• Encompass Remote Inc
• Andrew Joseph Endl
• Endocrine Clinic of Kenosha , S.C.
• Michael Aaron Engel, DPM

• Optometrist in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.