Active NPI
Benjamin C. Yanofsky, OD, PLC
- Corneal and Contact Management Optometrist
- Mesa, AZ
National Provider Identifier
1407039597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 01434
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Benjamin C. Yanofsky, OD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Mesa, AZ
- NPI 1598823510
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.