Individual provider Active NPI

Benjamin Carden, OD

  • Optometrist
  • Chattanooga, TN
National Provider Identifier
1508484650
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3607 Issued in TN
Practice address
2100 Hamilton Place Blvd Ste 167
Chattanooga, TN 37421-6057
Phone
(423) 892-7166
NPI assigned
Jul 6, 2020
Last updated
Jul 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3607 TN Primary

Addresses

Primary practice location

2100 Hamilton Place Blvd Ste 167
Chattanooga, TN 37421-6057

Mailing address

10854 Prairie Lake Dr
Apison, TN 37302-3507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20200817003884 TN Practitioner - Optometry 4486070752 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1688 Ooltewah Ringgold Rd
Suite 104
Ooltewah, TN 37363-3026
Phone (423) 219-1956

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3607TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Mark Lynn & Associates, PLLC Optometrist CurrentSince Jul 20, 2020 Accepting new patients
TN Doctors of Optometry, PLLC Optometrist CurrentSince Feb 6, 2022 Accepting new patients
TN Doctors of Optometry, PLLC Optometrist CurrentSince Feb 6, 2022 Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist CurrentSince Jul 20, 2020 Accepting new patients
28 West PLLC Optometrist CurrentSince Oct 23, 2023 Accepting new patients

Locations

2100 Hamilton Place Blvd
Ste 167
Chattanooga, TN 37421
Phone (423) 892-7166

1701 Gallatin Pike N
Madison, TN 37115
Phone (615) 868-2000

1688 Ooltewah Ringgold Rd
Ste 104
Ooltewah, TN 37363
Phone (423) 219-1956

2012 Crossings Cir
Ste B
Spring Hill, TN 37174
Phone (931) 489-9151

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1508484650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10854 PRAIRIE LAKE DR",
            "city": "APISON",
            "state": "TN",
            "postal_code": "373023507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 HAMILTON PLACE BLVD STE 167",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216057",
            "telephone_number": "423-892-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDEN",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.