Active NPI
Bessie Anthony, O.D.
- Optometrist
- Oak Lawn, IL
National Provider Identifier
1558538447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046008132
- Practice address
- 10550 S Cicero Ave
Oak Lawn, IL 60453-5267 - Phone
- (708) 499-3911
- NPI assigned
- May 10, 2008
- Last updated
- May 10, 2008
- Sex
- Female
- 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 | 046008132 | IL | Primary |
Addresses
Primary practice location
10550 S Cicero Ave
Oak Lawn, IL 60453-5267
Mailing address
10550 S Cicero Ave
Oak Lawn, IL 60453-5267
Phone (708) 499-3911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046008132 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Jorge a. Benavente Optometrist PC | Optometrist | Current | Accepting new patients |
Locations
4005 167th St
Country Club Hills, IL 60478
Phone (708) 647-6738
Organizations & group practices 1
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": "1210377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210377600000",
"number": "1558538447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10550 S CICERO AVE",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604535267",
"telephone_number": "708-499-3911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10550 S CICERO AVE",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604535267",
"telephone_number": "708-499-3911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTHONY",
"first_name": "BESSIE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-10",
"last_updated": "2008-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046008132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.