Individual provider Active NPI

John T Bender Jr., O.D.

  • Optometrist
  • Enterprise, AL
National Provider Identifier
1528032448
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S671TA432 Issued in AL
Practice address
1020-B Boll Weevil Cir
Enterprise, AL 36330-2733
Phone
(334) 347-2732
Fax
(334) 347-2732
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S671TA432 AL Primary

Addresses

Primary practice location

1020-B Boll Weevil Cir
Enterprise, AL 36330-2733

Mailing address

201 W Kingswood Dr
Enterprise, AL 36330-4145
Phone (334) 347-6303

Organizations & group practices 4

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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6020 Boll Weevil Circle
Enterprise, AL 36330-9420
Phone (334) 347-2732

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery83

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20051220000905 AL Practitioner - Optometry 8325063944 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S671TA432ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
John T. Bender, Jr., O.D., P.C. Optometrist CurrentSince Oct 2, 2006 Accepting new patients
D & J Optical Inc Optometrist Past Accepting new patients
Velvet Jeter Maddox, O.D. P.C. Optometrist Past Accepting new patients
D & J Optical Inc Optometrist Past Accepting new patients

Locations

221 N Daleville Ave
Daleville, AL 36322
Phone (334) 347-2732

1020 Boll Weevil Cir
Ste B
Enterprise, AL 36330
Phone (334) 347-2732

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1528032448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W KINGSWOOD DR",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363304145",
            "telephone_number": "334-347-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020-B BOLL WEEVIL CIR",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302733",
            "telephone_number": "334-347-2732",
            "fax_number": "334-347-2732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDER",
        "first_name": "JOHN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S671TA432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, AL

Sources for this page

Verify at the official NPI Registry.