Seth Bernstein OD and Lisa Benham OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

COR 680 Issued in CA

Legal business name

SETH BERNSTEIN OD AND LISA BENHAM OD INC

Practice address

2791 Green River Rd
#106
Corona, CA 92882-7426

Phone

(951) 736-2020

Fax

(951) 736-2002

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Seth BernsteinNPI 1881653954

Title

President

Phone

(951) 736-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Seth Bernstein Lisa Benham2 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.

• Seth Bernstein, O.D. & Lisa Benham, O.D., Inc

  • Optometrist
  • Yorba Linda, CA
  • NPI 1174777361
  NPD tax ID

Locations

Practitioners 3

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

• Seth Bernstein, O.D.

  • Optometrist
  • Corona, CA
  • NPI 1881653954
  Medicare reassignment Care Compare group NPD Authorized official
• Lisa Benham, O.D.

  • Optometrist
  • Corona, CA
  • NPI 1518936947
  Medicare reassignment Care Compare group
• Darlene Michelle Fidler, O.D.

  • Optometrist
  • Corona, CA
  • NPI 1861423964
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1659405058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2791 GREEN RIVER RD",
            "address_2": "#106",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928827426",
            "telephone_number": "951-736-2020",
            "fax_number": "951-736-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2791 GREEN RIVER RD",
            "address_2": "#106",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928827426",
            "telephone_number": "951-736-2020",
            "fax_number": "951-736-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SETH BERNSTEIN OD AND LISA BENHAM OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "BERNSTEIN",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-736-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "COR 680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa M Serrano, C.M.T
• Salena Ann Serrano, M.S.
• Celeste Serrato
• Justina Servantes
• Michelle Servin, R1193480315
• Cameron Lorraine Severns
• Jordyn Seward
• Manouchehr Seyfzadeh, M.D., PH.D.
• SG Homecare,Inc.
• Ahmed A Shaalan

• Optometrist in Corona, CA
• Providers in Corona, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.