Active NPI
Benjamin Freeman Anderson Jr., O.D.
- Optometrist
- Delray Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 3866
- Practice address
- 5062 W Atlantic Ave
Delray Beach, FL 33484-8129 - Phone
- (561) 498-8884
- Fax
- (561) 498-7878
- NPI assigned
- Jun 13, 2007
- Last updated
- May 5, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC 3866 | FL | Primary |
| Optometrist | 152W00000X | 1276 | SC |
Addresses
Primary practice location
5062 W Atlantic Ave
Delray Beach, FL 33484-8129
Mailing address
5062 W Atlantic Ave
Delray Beach, FL 33484-8129
Phone (561) 498-8884
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC 3866 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Coast Optometry, PA | Current | Accepting new patients | |
| Grace Eye Vision LLC | Optometrist | Current | Accepting new patients |
| Global Care Optometry II PA | Optometrist | Current | Accepting new patients |
| Paradise Eyes LLC | Optometrist | Current | Accepting new patients |
| National Vision, Inc. | Past | Accepting new patients | |
| National Vision, Inc. | Past | Accepting new patients | |
| Pee Dee Eye Associates PA | Optometrist | Past | Accepting new patients |
| Pee Dee Eye Associates, PA | Optometrist | Past | Accepting new patients |
Locations
706 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 774-1318
4555 14th St W
Bradenton, FL 34207
Phone (941) 739-3067
13217 Cortez Blvd
Brooksville, FL 34613
Phone (352) 597-1209
706 SW Pine Island Rd
Unit 102
Cape Coral, FL 33991
Phone (239) 387-5775
4957 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 278-1217
6891 Daniels Pkwy
Ste 140
Fort Myers, FL 33912
Phone (239) 243-8892
2411 SW College Rd
Ocala, FL 34471
Phone (352) 873-3937
741 N Alafaya Trl
Unit H1
Orlando, FL 32828
Phone (407) 658-1693
3180 Northlake Blvd
Palm Beach Gardens, FL 33403
Phone (561) 844-2119
3345 S Congress Ave
Palm Springs, FL 33461
Phone (561) 964-0220
6527 S Tamiami Trl
Sarasota, FL 34231
Phone (941) 924-5745
1725 W Mlk Blvd
Tampa, FL 33607
Phone (239) 800-1717
Networks
- Freedom Health HMO Network
Organizations & group practices 8
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.
-
- Optometrist
- Orlando, FL
- NPI 1295545390
-
- Optometrist
- Cape Coral, FL
- NPI 1134909997
-
- Corneal and Contact Management Optometrist
- Tampa, FL
- NPI 1083859409
-
- Optometrist
- Bradenton, FL
- NPI 1952157521
-
- Optometrist
- Hartsville, SC
- NPI 1508973462
-
- Optometrist
- Sumter, SC
- NPI 1861894115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273017600000",
"number": "1720282775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5062 W ATLANTIC AVE",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334848129",
"telephone_number": "561-498-8884",
"fax_number": "561-498-7878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5062 W ATLANTIC AVE",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334848129",
"telephone_number": "561-498-8884",
"fax_number": "561-498-7878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "BENJAMIN",
"middle_name": "FREEMAN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-13",
"last_updated": "2010-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 3866",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "1276",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.