George R Bennett, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000179 Issued in PA

Practice address

6921 Frankford Ave
Suite # E
Philadelphia, PA 19135-1623

Phone

(215) 624-0416

Fax

(215) 624-2770

NPI assigned

Jul 26, 2006

Last updated

Sep 7, 2012By 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

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, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Drexel UniversityGroup PAC ID 5496664740, 80 clinicians

Mayfair Eye Associates, PCGroup PAC ID 3274693353, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: george.bennett.p1@direct.salusuhealth.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: lbennett@mayfaireye.eyefinitydirect.com

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.

• Drexel University

  dba Drexel Psychology

  • Psychologist
  • Philadelphia, PA
  • NPI 1902900095
  Medicare reassignment Care Compare group NPD
• Mayfair Eye Associates, PC

  • Optometrist
  • Philadelphia, PA
  • NPI 1225251168
  Medicare reassignment Care Compare group NPD
• Drexel University

  dba The Eye Institute

  • Optometrist
  • Philadelphia, PA
  • NPI 1336160027
  Medicare reassignment NPD
• Drexel University

  dba Pennsylvania Ear Institute

  • Audiologist
  • Elkins Park, PA
  • NPI 1104822253
  NPD
• Drexel University

  dba Drexel Center for Digestive Health

  • Gastroenterology Physician
  • Philadelphia, PA
  • NPI 1922103381
  NPD
• Salus University Hearing Vision Balance Clinic

  • Audiologist
  • Elkins Park, PA
  • NPI 1154785293

  Optometrist

  NPD

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346976000000",
    "number": "1508880329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6921 FRANKFORD AVE",
            "address_2": "SUITE E",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191351623",
            "telephone_number": "215-624-0416",
            "fax_number": "215-624-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6921 FRANKFORD AVE",
            "address_2": "SUITE # E",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191351623",
            "telephone_number": "215-624-0416",
            "fax_number": "215-624-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "GEORGE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2012-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEMBER PROVIDER NUMBER",
            "identifier": "137725ZBUV",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "133733",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daaimah Jennell Bennett
• David S Bennett, PHD
• Debra Lynn Bennett, LCSW
• Elizabeth N Bennett, CRNP
• Frederick Christian Bennett, MD
• Jajuan Bennett
• Kevin Donnell Bennett, LCSW
• Laura Bennett, APN
• Mariko Bennett, MD, PHD
• Michael J Bennett, PH.D.

• Optometrist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; 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.