Chryssa Marie Bender, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA1996 Issued in MD

Practice address

1517 Ridgeside Dr
Mount Airy, MD 21771-5285

Phone

(301) 829-2221

Fax

(301) 831-4040

NPI assigned

Nov 1, 2006

Last updated

Dec 8, 2009By 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 1

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

Pennsylvania College of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Professional Vision of Ellicott City, IncGroup PAC ID 4082925045, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Professional Vision of Ellicott City, Inc.

  • Optometrist
  • Ellicott City, MD
  • NPI 1952796187
  Medicare reassignment Care Compare group NPD
• John C Baer MD LLC

  dba South Penn Eye Care

  • Corneal and Contact Management Optometrist
  • Hanover, PA
  • NPI 1508979808
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260230400000",
    "number": "1356428171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 RIDGESIDE DR",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217715285",
            "telephone_number": "301-829-2221",
            "fax_number": "301-831-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 RIDGESIDE DR",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217715285",
            "telephone_number": "301-829-2221",
            "fax_number": "301-831-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDER",
        "first_name": "CHRYSSA",
        "middle_name": "MARIE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Elizabeth Barry, D.D.S.
• Bear Creek Dental
• Lydia Sarah Beary
• Robin Michele Bello
• Mourad Benboussetta
• Lisa Benson
• Caitlin L. Bethepu, CPD
• Graciela Liliana Bilis, LPC, LCPC, NCC
• Danielle Blair, LGPG
• BLS Diagnostics LLC

• Optometrist in Mount Airy, MD
• Providers in Mount Airy, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.