Mark Daniel Bennett, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1343 Issued in CO

Practice address

13530 Northgate Estates Dr Ste 200
Colorado Springs, CO 80921-7651

Phone

(719) 593-2333

Fax

(719) 593-0012

NPI assigned

Feb 17, 2006

Last updated

Jul 1, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: direct@bennettfamilyeyecarepccoloradospringsco.compulinkdirect.com

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.

• Spectrum Eye Care, PC

  dba Spectrum Eye Care

  • Optometrist
  • Colorado Springs, CO
  • NPI 1609036912
  Medicare reassignment NPD Authorized official
• Magic View, LLC

  • Optometrist
  • Colorado Springs, CO
  • NPI 1174499214
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1861467599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13530 NORTHGATE ESTATES DR STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809217651",
            "telephone_number": "719-593-2333",
            "fax_number": "719-593-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13530 NORTHGATE ESTATES DR STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809217651",
            "telephone_number": "719-593-2333",
            "fax_number": "719-593-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "MARK",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08134397",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cedrice Bennett
• Daniel Bennett, DPT
• Heidi Leea Bennett, P.A.-C.
• Mackenna Bennett
• Mariah Lynn Bennett
• Michelle Bennett
• Philip R Bennett, PSYD
• Raelyn Bennett
• Richard Benjamin Bennett
• Shanna Bennett, CSFA

• Optometrist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.