Stephen Bencho Jr., OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1191 Issued in TN

Practice address

2733 Keith St NW
Cleveland, TN 37312-3706

Phone

(423) 559-0129

Fax

(423) 559-0129

NPI assigned

Feb 9, 2007

Sex

Male

Sole proprietor

Yes

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 TN

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Crittenden, Inc

  • Durable Medical Equipment & Medical Supplies
  • Cleveland, TN
  • NPI 1811038086
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679614846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2733 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123706",
            "telephone_number": "423-559-0129",
            "fax_number": "423-559-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2733 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123706",
            "telephone_number": "423-559-0129",
            "fax_number": "423-559-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENCHO",
        "first_name": "STEPHEN",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "1191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephan Max Becker, M.D.
• Jessica Carol Beckman, DPT
• Thomas Arden Beeler, DPT
• Shannon Beierle, MD
• Benchmark Healthcare Service LLC
• Chris Bendemire, FNP-C
• Marilyn Bendtsen, OCCUPATIONAL THERAPI
• Claudia Benitez-Hernandez
• Katie Maile Benjamin
• Shelby Benjamin

• Optometrist in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.