Active NPI
Allison Marie Benacci, O.D.
- Optometrist
- Erie, PA
National Provider Identifier
1609807890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG000560
- Practice address
- 2640 W 38TH St
Erie, PA 16506-4524 - Phone
- (814) 835-8258
- Fax
- (814) 838-0104
- NPI assigned
- Jul 5, 2006
- 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 | OEG000560 | PA | Primary |
Addresses
Primary practice location
2640 W 38TH St
Erie, PA 16506-4524
Mailing address
2640 W 38TH St
Erie, PA 16506-4524
Phone (814) 835-8258
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013650360001 | Medicaid | PA | |
| 1013650360002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
503 High St
Waterford, PA 16441-9750
Phone (814) 796-1133
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.36 of 100
- Quality
- 84.35
- Improvement activities
- 40
- Cost
- 55.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Griffith Eye Center PC | Optometrist | Current | Accepting new patients |
| Waterford Eye Care, PC | Optometrist | Current | Accepting new patients |
| Precision Vision Center Inc. | Optometrist | Past | Accepting new patients |
| Ear Nose and Throat Specialists of Northwestern Pennsylvania | Past | Accepting new patients | |
| Ear Nose and Throat Specialists of Northwestern Pennsylvania | Past | Accepting new patients | |
| Griffith Eye Center PC | Optometrist | Past | Accepting new patients |
Locations
2640 W 38th St
Erie, PA 16506
Phone (814) 835-8258
41 S Lake St
North East, PA 16428
Phone (814) 725-3304
Organizations & group practices 6
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
- Waterford, PA
- NPI 1275626798
-
- Otolaryngology Physician
- Erie, PA
- NPI 1194754846
-
- Audiologist
- Erie, PA
- NPI 1710991559
-
- Optometrist
- Erie, PA
- NPI 1538175914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242777600000",
"number": "1609807890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2640 W 38TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165064524",
"telephone_number": "814-835-8258",
"fax_number": "814-838-0104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2640 W 38TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165064524",
"telephone_number": "814-835-8258",
"fax_number": "814-838-0104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENACCI",
"first_name": "ALLISON",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2009-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG000560",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013650360001",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013650360002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; 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.