NPIMap

Organization Active NPI

Bender Eyecare

  • Optometrist
  • Palm Harbor, FL
National Provider Identifier
1669668653
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 2619 Issued in FL
Legal business name
BENDER EYECARE
Practice address
3434 E Lake Rd
Suite #3
Palm Harbor, FL 34685-2401
Phone
(727) 781-7922
Fax
(727) 789-9859
NPI assigned
Sep 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2007

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

Authorized official

Name
Dr. Kristin L. Bender, O.D.NPI 1205861846
Title
President
Phone
(727) 781-7922

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC 2619 FL Primary

Addresses

Primary practice location

3434 E Lake Rd
Suite #3
Palm Harbor, FL 34685-2401

Mailing address

3434 E Lake Rd
Suite #3
Palm Harbor, FL 34685-2401
Phone (727) 781-7922

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1669668653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 E LAKE RD",
            "address_2": "SUITE #3",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346852401",
            "telephone_number": "727-781-7922",
            "fax_number": "727-789-9859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 E LAKE RD",
            "address_2": "SUITE #3",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346852401",
            "telephone_number": "727-781-7922",
            "fax_number": "727-789-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENDER EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "BENDER",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-781-7922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 2619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.