Active NPI
David Joseph Benes, O.D.
- Optometrist
- Bangor, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT888
- Practice address
- 1 Ridgewood Dr
Bangor, ME 04401-2652 - Phone
- (207) 945-6200
- NPI assigned
- Aug 18, 2006
- Last updated
- Apr 8, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT888 | ME | Primary |
Addresses
Primary practice location
1 Ridgewood Dr
Bangor, ME 04401-2652
Mailing address
935 County Route 61
Shushan, NY 12873-3207
Phone (518) 854-7778
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487768453 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT888 | ME | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Care of Maine LLC | Optometrist | Current | Accepting new patients |
| Vision Care of Maine Aroostook, LLC | Optometrist | Current | Accepting new patients |
| Vision Care of Maine LLC | Current | Accepting new patients | |
| Vision Care of Maine-Aroostook LLC | Optometrist | Current | Accepting new patients |
| Bay Optical, Inc | Past | Accepting new patients | |
| Eye Care Associates, PC | Past | Accepting new patients | |
| Kennebec Eyecare PA | Optometrist | Past | Accepting new patients |
| Luxottica Retail North America Inc | Past | Accepting new patients |
Locations
254 Western Ave
Augusta, ME 04330
Phone (204) 945-6200
1 Ridgewood Dr
Bangor, ME 04401
Phone (207) 667-9690
173 Academy St
Presque Isle, ME 04769
Phone (207) 764-0376
216 Main St
Waterville, ME 04901
Phone (207) 872-2793
Interoperability endpoints
- david.benesod.p1@direct.visioncareofmaine.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 8
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.
-
- Ophthalmology Physician
- Presque Isle, ME
- NPI 1588763189
Optometrist
-
- Multi-Specialty Clinic/Center
- Houlton, ME
- NPI 1265995674
Optometrist
-
- Ambulatory Surgical Clinic/Center
- Bangor, ME
- NPI 1275629081
-
- Optometrist
- Waterville, ME
- NPI 1659462067
-
- Optician
- Glens Falls, NY
- NPI 1073681169
-
- Ophthalmology Physician
- Middlebury, VT
- NPI 1265545404
-
dba Sears Optical #C1042
- Eyewear Supplier
- Las Cruces, NM
- NPI 1972652071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617840000000",
"number": "1487768453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "935 COUNTY ROUTE 61",
"city": "SHUSHAN",
"state": "NY",
"postal_code": "128733207",
"telephone_number": "518-854-7778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 RIDGEWOOD DR",
"city": "BANGOR",
"state": "ME",
"postal_code": "044012652",
"telephone_number": "207-945-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENES",
"first_name": "DAVID",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2021-04-08",
"certification_date": "2021-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ME",
"license": "OPT888",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1487768453",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.