Benjamin Christopher Konig, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2893 Issued in OK

Practice address

1001 N Grand Ave
Tahlequah, OK 74464-7017

Phone

(615) 540-9161

NPI assigned

Jul 19, 2016

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 KY

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

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of PikevilleGroup PAC ID 6709120942, 18 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 and National Provider Directory roles.

• University of Pikeville

  dba University of Pikeville Kentucky College of Optometry

  • Optometrist
  • Pikeville, KY
  • NPI 1841657947
  Medicare reassignment Care Compare group NPD
• Big Sandy Health Care, Inc

  dba Martin County Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Inez, KY
  • NPI 1104055805
  Medicare reassignment NPD
• Big Sandy Health Care Inc

  dba Johnson County Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Paintsville, KY
  • NPI 1326729773
  NPD
• Big Sandy Health Care Inc

  dba Shelby Valley Clinic

  • Federally Qualified Health Center (FQHC)
  • Pikeville, KY
  • NPI 1700828597
  NPD
• Thorntonmd Cosmetic Surgery Center

  • Plastic and Reconstructive Surgery Physician
  • Louisville, KY
  • NPI 1801136981
  NPD (past)

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1497108070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 E ALLEN RD APT 11",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744642253",
            "telephone_number": "615-540-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N GRAND AVE",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744647017",
            "telephone_number": "615-540-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONIG",
        "first_name": "BENJAMIN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline F Kirsch, BA, MHPP,WC,RSS
• Jessica Klingeman, APRN-CNM
• Jeromy Michael Klinger, MS
• Regina Renea Klinger
• Miranda Dawn Knight-Brown, M.D.
• Alena M Korbut, PHARMD
• Benjamin Kruger
• Krystal Easter Ms, LPC
• Hannah Kay Labounty, MSW U/S, LMSW-P
• Joyce Ann Lackey

• Optometrist in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.