Benjamin M Teller, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA1389 Issued in MD

Practice address

4600 North Park Avenue
Plaza North
Chevy Chase, MD 20815

Phone

(301) 841-6776

Fax

(301) 215-4144

NPI assigned

Jul 7, 2006

Last updated

Dec 19, 2014By the provider in NPPES

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 DC

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, 1996

Medicare assignment

May accept Medicare assignment

Group practices

Eye RX PLLCGroup PAC ID 8123240546, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Eye RX PLLC

  • Optometrist
  • Chevy Chase, MD
  • NPI 1073928800

  DC

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418947200000",
    "number": "1447282702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 N PARK AVE",
            "address_2": "PLAZA NORTH",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154518",
            "telephone_number": "301-841-6776",
            "fax_number": "301-215-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 NORTH PARK AVENUE",
            "address_2": "PLAZA NORTH",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "20815",
            "telephone_number": "301-841-6776",
            "fax_number": "301-215-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLER",
        "first_name": "BENJAMIN",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2014-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cortney Elizabeth Tanner, PA-C
• Eric Taswell, M.D.
• Hayley Coyle Teague, PA-C
• Seble Teklemariam
• Aida Teleksaw
• Joan Marks Tendrich, AU.D.
• Terry Alan Teplitz, M.D.
• Gary William Terle, PT
• Terry Alan Teplitz, M.D.,P.a.
• Lauren Thatcher, LCPC

• Optometrist in Chevy Chase, MD
• Providers in Chevy Chase, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; 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.