Individual provider Active NPI

Benjamin Stowe Winters, O.D.

  • Optometrist
  • Milton Freewater, OR
National Provider Identifier
1538508270
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3503ATI Issued in OR
Practice address
320 N Columbia St
Milton Freewater, OR 97862-9405
Phone
(541) 938-5888
Fax
(541) 938-9430
NPI assigned
Jun 16, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3503ATI OR Primary

Addresses

Primary practice location

320 N Columbia St
Milton Freewater, OR 97862-9405

Mailing address

320 N Columbia St
Milton Freewater, OR 97862-9405
Phone (541) 938-5888

Other identifiers 1

IdentifierTypeStateIssuer
500658022MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130701000647 OR Practitioner - Optometry 0648410399 Reassigns benefits to 1 organization
I20190205002365 TX Practitioner - Optometry 0648410399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

117 S Main St
Milton Freewater, OR 97862-1342
Phone (541) 938-5888

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3503ATIORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Visual Eyes LLC Optometrist CurrentSince Aug 1, 2015 Accepting new patients
Yellowhawk Tribal Health Center CurrentSince Jan 1, 2019 Accepting new patients
Family Eye Center PA Optometrist PastSince Jun 17, 2013 Accepting new patients

Locations

320 N Columbia St
Milton Freewater, OR 97862
Phone (541) 212-8685

117 S Main St
Milton Frwtr, OR 97862
Phone (208) 390-4708

46314 Timine Way
Pendleton, OR 97801
Phone (541) 966-9830

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1371340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1538508270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N COLUMBIA ST",
            "city": "MILTON FREEWATER",
            "state": "OR",
            "postal_code": "978629405",
            "telephone_number": "541-938-5888",
            "fax_number": "541-938-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N COLUMBIA ST",
            "city": "MILTON FREEWATER",
            "state": "OR",
            "postal_code": "978629405",
            "telephone_number": "541-938-5888",
            "fax_number": "541-938-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTERS",
        "first_name": "BENJAMIN",
        "middle_name": "STOWE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-16",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3503ATI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500658022",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton Freewater, OR

Sources for this page

Verify at the official NPI Registry.