Ben E. Coutant, OD, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2867ATI Issued in OR

Legal business name

BEN E. COUTANT, OD, PC

Practice address

1680 Coburg Rd Ste 100
Eugene, OR 97401-4869

Phone

(541) 687-2020

NPI assigned

May 22, 2017

Last updated

Jun 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ben E. Coutant, ODNPI 1285679878

Title

Owner/President

Phone

(541) 556-9425

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ben E. Coutant, O.D.

  • Optometrist
  • Springfield, OR
  • NPI 1285679878
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1649707639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 WILLAMETTE ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974054835",
            "telephone_number": "541-556-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 COBURG RD STE 100",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014869",
            "telephone_number": "541-687-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEN E. COUTANT, OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-22",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "COUTANT",
        "authorized_official_first_name": "BEN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "541-556-9425",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2867ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.