Individual provider Active NPI

Benjamin Freeman Anderson Jr., O.D.

  • Optometrist
  • Delray Beach, FL
National Provider Identifier
1720282775
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 3866 Issued in FL
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, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100914001369 FL Practitioner - Optometry 8729075205 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OPC 3866FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Optometry, PA CurrentSince Oct 15, 2019 Accepting new patients
Grace Eye Vision LLC Optometrist CurrentSince Jan 4, 2025 Accepting new patients
Global Care Optometry II PA Optometrist CurrentSince Jan 4, 2025 Accepting new patients
Paradise Eyes LLC Optometrist CurrentSince Jan 4, 2025 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.

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

Verify at the official NPI Registry.