Ronald Lee Benner, O.D.
Individual provider Active NPI Optometrist · Laurel, MT
NPI 1710037437 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1710037437
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 523 (MT)
- Practice address
- 210 1St Ave
Laurel, MT 59044-3014 - Phone
- (406) 628-8668
- Fax
- (406) 628-8668
- NPI assigned
- Jan 12, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
210 1St Ave
Laurel, MT 59044-3014
Phone (406) 628-8668
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.7 of 100
- Quality
- 55.4
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 56 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111115000129 | MT | Practitioner - Optometry | 9931191384 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 523 | MT | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Montana Optometric Center, Inc | Optometrist | Current |
Accepting new patients |
Locations
210 1st Ave
Laurel, MT 59044
Phone (406) 628-8668
Interoperability endpoints
- ronbennerod@direct.revolutionehr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 523 | MT | Yes |
Addresses
Primary practice location
210 1St Ave
Laurel, MT 59044-3014
Mailing address
PO Box 190
210 1St Ave
Laurel, MT 59044-0190
Phone (406) 628-8668
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 482066 | Medicaid | MT |
Other providers in Laurel, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.