Steven P. Bennett, OD

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

STEVEN P. BENNETT, OD

Practice address

1401 N 13TH St
Decatur, IN 46733-3139

Phone

(260) 724-2517

Fax

(260) 724-7009

NPI assigned

Jun 30, 2020

Organization subpart

No

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

Authorized official

Name

Laura J Pinney

Title

Insurance Billing

Phone

(260) 724-2517

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593475200000",
    "number": "1336766914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512",
            "city": "DECATUR",
            "state": "IN",
            "postal_code": "467330512",
            "telephone_number": "260-724-2517",
            "fax_number": "260-724-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 N 13TH ST",
            "city": "DECATUR",
            "state": "IN",
            "postal_code": "467333139",
            "telephone_number": "260-724-2517",
            "fax_number": "260-724-7009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 E DuPont Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468251581",
            "country_code": "US",
            "telephone_number": "260-490-1060",
            "fax_number": "260-489-5175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STEVEN P. BENNETT, OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A",
        "authorized_official_last_name": "PINNEY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "INSURANCE BILLING",
        "authorized_official_telephone_number": "260-724-2517"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100053170A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly M Sigler, DDS
• Baldemar Silva, LCSW
• Jonathan Mark Smith, DPM
• Scott T Smith, MD
• Emily Jean Sovine, MA CCC-SLP
• Robbillie Stevenson
• Allison Stucky, LCSW
• Darvin Keith Suter
• Brittany Taritas, MSW
• Blake A Taylor, DDS

• Optometrist in Decatur, IN
• Providers in Decatur, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.