Erica Danielle Bennehoff, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA2031 Issued in MD

Practice address

7550 Teague Rd
Suite 114
Hanover, MD 21076-1339

Phone

(410) 799-8067

NPI assigned

Jan 6, 2006

Last updated

May 19, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Southern College of Optometry, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tandl Optical Supply Inc.Group PAC ID 7315956331, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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.

• T&L Optical Supply Inc.

  dba Opti-Care

  • Optician
  • Eldersburg, MD
  • NPI 1588735609
  Medicare reassignment Care Compare group NPD
• Central Illinois Family Eyecare LLC

  dba Peoria Eye Professionals

  • Optometrist
  • Peoria, IL
  • NPI 1053852020
  NPD (past)
• Prairie Eye Center LTD

  • Optometrist
  • Beardstown, IL
  • NPI 1376773598
  NPD (past)
• Prairie Eye Center, LTD

  dba Prairie Eye & Lasik Center

  • Ophthalmology Physician
  • Springfield, IL
  • NPI 1447222864

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431993600000",
    "number": "1346228665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 OLD DOBBIN LN",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455812",
            "telephone_number": "443-896-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 TEAGUE RD",
            "address_2": "SUITE 114",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761339",
            "telephone_number": "410-799-8067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNEHOFF",
        "first_name": "ERICA",
        "middle_name": "DANIELLE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-06",
        "last_updated": "2015-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009555",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baltimore Washington Professional Services Inc. (BWMC OB/GYN Associates)
• Arthea Latoya Bates, MSSA, LCSW-C
• Sneha Bathija, MPT
• Bay State Medical, Inc.
• Sarah Caroline Bazyluk, PA-C
• Berur Health & Wellness Services LLC
• Berur Health & Wellness Services LLC
• Molly Bierley
• Umm-Ul-Banin Binte Tayyab, MD
• Claudia Lorry Blemard, O.D.

• Optometrist in Hanover, MD
• Providers in Hanover, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.