Individual provider Active NPI

Erin Pauline Benjamin, D.O.

  • Ophthalmology Physician
  • Bluffton, SC
National Provider Identifier
1790052207
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D087854 Issued in SC
Practice address
23 Plantation Park Dr Ste 401
Bluffton, SC 29910-6094
Phone
(845) 815-5454
Fax
(843) 757-9665
NPI assigned
Nov 28, 2011
Last updated
Oct 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D087854 SC Primary
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X D087854 SC

Addresses

Primary practice location

23 Plantation Park Dr Ste 401
Bluffton, SC 29910-6094

Mailing address

23 Plantation Park Dr Ste 401
Bluffton, SC 29910-6094
Phone (845) 815-5454

Other practice location 1

60 N Main St Unit A
Hilton Head Island, SC 29926-6603
Phone (843) 815-5454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230415000180 SC Practitioner - Ophthalmology 6507096559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Philadelphia College of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goulas EyeGroup PAC ID 1052545241, 3 clinicians

Practice addresses (Care Compare)

23 Plantation Park Dr
Suite 401
Bluffton, SC 29910-6094
Phone (843) 815-5454

Merit-based Incentive Payment System (MIPS)

Final score
90.92 of 100Reported as group
Quality
95
Improvement activities
40
Cost
76.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
D087854SCMDPediatric Ophthalmology and Strabismus Specialist Physician Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Goulas Eye Ophthalmology CurrentSince Mar 1, 2023 Accepting new patients
The Eye Clinic Inc Ophthalmology PastSince May 1, 2017 Accepting new patients

Locations

23 Plantation Park Dr
Ste 401
Bluffton, SC 29910
Phone (843) 757-9661

60 Main St
Unit A
Hilton Head Island, SC 29926
Phone (843) 815-5454

Interoperability endpoints

  • Direct secure messaging: ebenjamin@goulaseye.direct.eyemdemr.com

Organizations & group practices 2

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": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1790052207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 PLANTATION PARK DR STE 401",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106094",
            "telephone_number": "845-815-5454",
            "fax_number": "843-757-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 PLANTATION PARK DR STE 401",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106094",
            "telephone_number": "845-815-5454",
            "fax_number": "843-757-9665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 N Main St Unit A",
            "address_purpose": "LOCATION",
            "city": "Hilton Head Island",
            "state": "SC",
            "postal_code": "299266603",
            "country_code": "US",
            "telephone_number": "843-815-5454",
            "fax_number": "843-757-9665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "ERIN",
        "middle_name": "PAULINE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-28",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "D087854",
            "primary": true
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "SC",
            "license": "D087854",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

Verify at the official NPI Registry.