Individual provider Active NPI

Elizabeth Bennett, O.D.

  • Optometrist
  • Savannah, GA
National Provider Identifier
1750818571
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003234 Issued in GA
Practice address
340 Eisenhower Dr Ste a
Savannah, GA 31406-1600
Phone
(912) 353-1001
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT003234 GA Primary

Addresses

Primary practice location

340 Eisenhower Dr Ste a
Savannah, GA 31406-1600

Mailing address

340 Eisenhower Dr Ste 1400a
Savannah, GA 31406-1605
Phone (912) 353-1001

Other identifiers 1

IdentifierTypeStateIssuer
003234391AMedicaidGA

Other names 1

  • Elizabeth Nancy Murray Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT003234GAMDOptometrist
3493TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Eye Institute of Savannah, Inc. Current Accepting new patients
Coastal Dermatology Current Accepting new patients
Indiana University Optometrist Past Accepting new patients

Locations

340 Eisenhower Dr
Ste 1400A
Savannah, GA 31406
Phone (912) 353-1001

Interoperability endpoints

  • Direct secure messaging: emurray@ceisav.emadirect.md
  • FHIR API: https://api.platform.athenahealth.com/14167/brand/11/csg/1/fhir/r4

Organizations & group practices 3

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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1750818571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 EISENHOWER DR STE 1400A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314061605",
            "telephone_number": "912-353-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 EISENHOWER DR STE A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314061600",
            "telephone_number": "912-353-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "ELIZABETH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003234391A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "MURRAY",
            "middle_name": "NANCY",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.