Individual provider Active NPI

Benjamin Cheung, OD

  • Optometrist
  • Sparks, NV
National Provider Identifier
1316557622
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1075 Issued in NV
Practice address
2285 Green Vista Dr
Sparks, NV 89431-1071
Phone
(775) 674-1100
NPI assigned
Aug 3, 2020
Last updated
Aug 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1075 NV Primary

Addresses

Primary practice location

2285 Green Vista Dr
Sparks, NV 89431-1071

Mailing address

11405 Torino CT
Reno, NV 89521-4254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20211216002687 NV Practitioner - Optometry 0345631867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paul W Hiss MD LTDGroup PAC ID 9830089739, 6 clinicians

Practice addresses (Care Compare)

2285 Green Vista Dr
Sparks, NV 89431-1071
Phone (775) 674-1100

Merit-based Incentive Payment System (MIPS)

Final score
28.56 of 100Reported as individual
Quality
57.12
Improvement activities
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1075NVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Paul W. Hiss, MD, LTD CurrentSince Sep 1, 2021 Accepting new patients
Eye Care Associates of Nevada Las Vegas, Inc Past Accepting new patients

Locations

2285 Green Vista Dr
Sparks, NV 89431
Phone (775) 355-1100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1316557622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11405 TORINO CT",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895214254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2285 GREEN VISTA DR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894311071",
            "telephone_number": "775-674-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEUNG",
        "first_name": "BENJAMIN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "1075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.