Active NPI
Andrew Ernest Benson, M.D.
- Ophthalmology Physician
- Slidell, LA
National Provider Identifier
1639197023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- L014236
- Practice address
- 2243 Gause Blvd E
Slidell, LA 70461-4232 - Phone
- (985) 643-6355
- Fax
- (985) 643-0130
- NPI assigned
- Jul 17, 2006
- Last updated
- Sep 14, 2012
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | L014236 | LA | Primary |
Addresses
Primary practice location
2243 Gause Blvd E
Slidell, LA 70461-4232
Mailing address
2243 Gause Blvd E
Slidell, LA 70461-4232
Phone (985) 643-6355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L014236 | LA | MD | Ophthalmology Physician |
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.
-
- Specialist
- Slidell, LA
- NPI 1902019052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347580800000",
"number": "1639197023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2243 GAUSE BLVD E",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704614232",
"telephone_number": "985-643-6355",
"fax_number": "985-643-0130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2243 GAUSE BLVD E",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704614232",
"telephone_number": "985-643-6355",
"fax_number": "985-643-0130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENSON",
"first_name": "ANDREW",
"middle_name": "ERNEST",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2012-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "LA",
"license": "L014236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.