Benito Pena, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

7139T Issued in TX

Practice address

237 W Water St
Kerrville, TX 78028-4252

Phone

(830) 257-6336

NPI assigned

Jul 31, 2007

Sex

Male

Sole proprietor

Yes

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 TX

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

University of Houston - College of Optometry, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

BP Eye Care CentersGroup PAC ID 9133306152, 3 clinicians

Tso Marble Falls LLCGroup PAC ID 3779989678, 2 clinicians

Pena Optical Solutions LLCGroup PAC ID 2264597715, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Tso Marble Falls LLC

  • Optometrist
  • Marble Falls, TX
  • NPI 1508438276
  Medicare reassignment Care Compare group NPD Authorized official
• Pena Optical Solutions LLC

  • Optometrist
  • Kerrville, TX
  • NPI 1891952594
  Medicare reassignment Care Compare group Authorized official
• Pham Pena PLLC

  • Optometrist
  • Colleyville, TX
  • NPI 1639842693
  Medicare reassignment NPD Authorized official
• BP Eye Care Centers

  • Optometrist
  • Fredericksburg, TX
  • NPI 1952619066
  Medicare reassignment Care Compare group
• River City Eyecare

  • Optometrist
  • San Antonio, TX
  • NPI 1265781553
  NPD (past)

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1497945919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 W WATER ST",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780284252",
            "telephone_number": "830-257-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 W WATER ST",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780284252",
            "telephone_number": "830-257-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "BENITO",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-31",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7139T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salvador A Payumo Jr., PMHNP
• Corinne Mary Pederson, D.C.
• William Pederson, M.D.
• Kelly C Pelton, MD
• Pena Optical Solutions LLC
• Pepper Pediatrics Therapy & Consulting, LLC
• Pamela Morris Peter, LPC, LCDC
• David W Peters, MD
• Peterson Medical Associates
• Peterson Urgent Care LLC

• Optometrist in Kerrville, TX
• Providers in Kerrville, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.
• 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.