Benjamin D. Smith OD, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT2881 Issued in CO

Legal business name

BENJAMIN D. SMITH OD, LLC

Practice address

1041 Acoma St
Denver, CO 80204-4034

Phone

(720) 255-2412

Fax

(720) 536-8283

NPI assigned

Jan 31, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin David Smith, O.D.NPI 1497909550

Title

Owner

Phone

(720) 255-2412

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Tax ID family

Benjamin D Smith OD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Benjamin D Smith OD LLC

  • Optometrist
  • Denver, CO
  • NPI 1043636111
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin David Smith, O.D.

  • Optometrist
  • Denver, CO
  • NPI 1497909550
  Medicare reassignment Care Compare group NPD Authorized official
• Matthew L Tripp, O.D.

  • Optometrist
  • Boulder, CO
  • NPI 1053697391
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1619216355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 ACOMA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044034",
            "telephone_number": "720-255-2412",
            "fax_number": "720-536-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 ACOMA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044034",
            "telephone_number": "720-255-2412",
            "fax_number": "720-536-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN D. SMITH OD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-31",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-255-2412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT2881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Benington
• Johanna P Benink, DDS
• Mei Lie F. Benink, DIPL. O.M., LIC. AC.
• Bethany Jean Benish, M.D.
• Benjamin D Smith OD LLC
• Benjamin Lipman, DO
• Amy Benjamin, LPCC
• Bonnie Louis Benjamin, RN
• Catosha N Benjamin
• Joshua Selton Benjamin, M.D.

• Optometrist in Denver, CO
• Providers in Denver, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.