Matthew Benko, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2804 Issued in NC

Practice address

4633 Long Beach Rd SE
Southport, NC 28461-8798

Phone

(910) 457-6667

Fax

(910) 457-9530

NPI assigned

Aug 30, 2024

Last updated

Oct 18, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

New England College of Optometry, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vision Source of Brunswick OD PAGroup PAC ID 3870835762, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Vision Source of Brunswick, OD, PA

  • Optometrist
  • Southport, NC
  • NPI 1922572999
  Medicare reassignment Care Compare group NPD
• Howard Eye Associates, OD PA

  • Optometrist
  • Southport, NC
  • NPI 1396845665
  NPD

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1679307714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4633 LONG BEACH RD SE",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284618798",
            "telephone_number": "910-457-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4633 LONG BEACH RD SE",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284618798",
            "telephone_number": "910-457-6667",
            "fax_number": "910-457-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENKO",
        "first_name": "MATTHEW",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lia Cristine Baroncini, PT
• Leon Bass Jr., NRP
• Arlene F Bauer, LPC
• Cheryl Lynn Beck
• Benchmark Physical Therapy of NC, LLC
• Charles Benoit
• Lee Ann Berkey, PT
• Darrelle L. Biddix, PT
• Donald Edward Binz II, MD
• Kathleen P Biron, PT

• Optometrist in Southport, NC
• Providers in Southport, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.