Organization Active NPI

Benjamin C. Yanofsky, OD, PLC

  • Corneal and Contact Management Optometrist
  • Mesa, AZ
National Provider Identifier
1407039597
Registry record updated Feb 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
01434 Issued in AZ
Legal business name
BENJAMIN C. YANOFSKY, OD, PLC
Doing business as
Advanced Eyecare of Arizona
Practice address
1809 E University Dr
Mesa, AZ 85203-8235
Phone
(480) 833-1434
NPI assigned
Dec 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2009

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

Authorized official

Name
Dr. Benjamin C. Yanofsky, ODNPI 1598823510
Title
Owner
Phone
(480) 833-1434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X 01434 AZ Primary

Addresses

Primary practice location

1809 E University Dr
Mesa, AZ 85203-8235

Mailing address

1809 E University Dr
Mesa, AZ 85203-8235
Phone (480) 833-1434

Other names 1

  • Advanced Eyecare of Arizona Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080327000237 AZ Part B Supplier - Clinic/Group Practice 9931285244 Receives reassigned benefits from 1 practitioner
Practice locations: Mesa, AZ

National Provider Directory

National Provider Directory

Locations

1809 E University Dr
Mesa, AZ 85203
Phone (480) 833-1434

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1407039597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 E UNIVERSITY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038235",
            "telephone_number": "480-833-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 E UNIVERSITY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038235",
            "telephone_number": "480-833-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN C. YANOFSKY, OD, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "YANOFSKY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-833-1434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "AZ",
            "license": "01434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Eyecare of Arizona",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.