Individual provider Active NPI

Benjamin Vincent Clingan, O.D.

  • Optometrist
  • Chandler, AZ
National Provider Identifier
1679908669
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002157 Issued in AZ
Practice address
2050 N Alma School Rd Ste 14
Chandler, AZ 85224-2889
Phone
(480) 786-1075
Fax
(480) 786-0476
NPI assigned
Sep 9, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1753 SC
Optometrist 152W00000X OPT-002157 AZ Primary

Addresses

Primary practice location

2050 N Alma School Rd Ste 14
Chandler, AZ 85224-2889

Mailing address

955 W Southern Ave Ste 101
Mesa, AZ 85210-4903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20170818002690 AZ Practitioner - Optometry 9638441017 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nationwide Optometry P.C.Group PAC ID 6901033075, 54 clinicians

Practice addresses (Care Compare)

2050 N Alma School Rd
14 NW Vision Ctr
Chandler, AZ 85224-2889
Phone (480) 786-1075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2157AZMDDentist
OPT-002157AZMDOptometrist
1753SCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nationwide Optometry P.C. Optometrist CurrentSince Aug 11, 2017 Accepting new patients
Nationwide Optometry P.C. Optometrist CurrentSince Aug 11, 2017 Accepting new patients
Northern Arizona Eye Associates CurrentSince Aug 15, 2017 Accepting new patients
Nationwide Optometry P.C. Optometrist Past Accepting new patients
Nationwide Optometry P.C. Optometrist Past Accepting new patients

Locations (25 of 59)

39508 N Daisy Mountain Dr
Ste 150
Anthem, AZ 85086
Phone (623) 551-6192

95 S Idaho Rd
Ste 170
Apache Junction, AZ 85119
Phone (480) 983-3438

10485 W McDowell Rd
Ste 103
Avondale, AZ 85392
Phone (480) 908-1001

860 S Watson Rd
Ste 107
Buckeye, AZ 85326
Phone (623) 386-8802

2840 Highway 95
Ste 416418
Bullhead City, AZ 86442
Phone (928) 704-1808

1775 E Florence Blvd
Ste 2
Casa Grande, AZ 85122
Phone (520) 426-1600

2050 N Alma School Rd
Ste 14
Chandler, AZ 85224
Phone (480) 786-1075

4025 S Gilbert Rd
Ste 3
Chandler, AZ 85249
Phone (480) 988-6847

2050 N Alma School Rd
Ste 140
Chandler, AZ 85224

220 N McKemy Ave
Chandler, AZ 85226
Phone (480) 961-1865

900 N San Francisco St
Flagstaff, AZ 86001
Phone 928774032219

4600 N US Highway 89
Flagstaff, AZ 86004
Phone (928) 526-2580

801 S Milton Rd
Flagstaff, AZ 86001
Phone (928) 213-1400

115 E Williams Field Rd
Gilbert, AZ 85295

1672 E Guadalupe Rd
Ste 111
Gilbert, AZ 85234
Phone (480) 892-6495

1495 N Higley Rd
Ste 106
Gilbert, AZ 85234
Phone (623) 289-8962

6510 S Higley Rd
Ste 101
Gilbert, AZ 85298
Phone (480) 988-0765

5026 W Cactus Rd
Ste 4
Glendale, AZ 85304
Phone (602) 547-9124

5707 W Northern Ave
Ste 106
Glendale, AZ 85301
Phone (602) 512-3299

9524 W Camelback Rd
Ste 150
Glendale, AZ 85305
Phone (623) 872-8822

20221 N 67th Ave
Ste E8
Glendale, AZ 85308
Phone (623) 362-2349

1170 N Estrella Pkwy
Ste A105
Goodyear, AZ 85338
Phone (623) 932-0428

14175 W Indian School Rd
Goodyear, AZ 85395
Phone (623) 536-2575

18690 S Nogales Hwy
Ste 118
Green Valley, AZ 85614
Phone (520) 648-0698

7650 S 59th Ave
Ste 101
Laveen, AZ 85339
Phone (602) 237-3576

Interoperability endpoints

  • Direct secure messaging: benjamin.clingan@direct.eyecare-partners.com
  • FHIR API: https://app.meldrx.com/api/fhir/ecp_cecaz

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1679908669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 W SOUTHERN AVE STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852104903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 N ALMA SCHOOL RD STE 14",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852242889",
            "telephone_number": "480-786-1075",
            "fax_number": "480-786-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINGAN",
        "first_name": "BENJAMIN",
        "middle_name": "VINCENT",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-09",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1753",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.