Gideon Bender

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP-100410 Issued in ID

Practice address

355 S Eagle Rd
Eagle, ID 83616-5912

Phone

(208) 938-2015

NPI assigned

Jul 12, 2017

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 ID

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

Pacific University - College of Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eagle Vision One PLLCGroup PAC ID 8921099730, 10 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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 and National Provider Directory roles.

• Eagle Vision One PLLC

  • Optometrist
  • Eagle, ID
  • NPI 1699845503
  Medicare reassignment Care Compare group NPD
• Vision One Inc

  • Optometrist
  • Boise, ID
  • NPI 1821168907
  NPD (past)

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499817600000",
    "number": "1386166312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 S EAGLE RD",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 S EAGLE RD",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165912",
            "telephone_number": "208-938-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDER",
        "first_name": "GIDEON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-12",
        "last_updated": "2017-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judi Bean, N.P.
• Spring Chumani Bean, RD
• Christopher Boyd Bell, PA
• Kami Crnich Bellomy, FNP-C
• Grant B Belnap, MD
• Bennebel LLC
• Tracy Bento, RD, CDCES, CSOWM
• Chelsea Leigh Beyers, DPT, OCS
• Christine E Birch, PA-C
• Vanessa Irene Bizimana, NP

• Optometrist in Eagle, ID
• Providers in Eagle, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; 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.