Active NPI
John T Bender Jr., O.D.
- Optometrist
- Enterprise, AL
National Provider Identifier
1528032448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S671TA432
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
-
- Optometrist
- Opp, AL
- NPI 1447257910
-
- Optometrist
- Ozark, AL
- NPI 1669478236
-
- Optometrist
- Enterprise, AL
- NPI 1538382973
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 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 83 |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051220000905 | AL | Practitioner - Optometry | 8325063944 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S671TA432 | AL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John T. Bender, Jr., O.D., P.C. | Optometrist | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.