Jaclyn Benzoni OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JACLYN BENZONI OD PC

Practice address

40 E Main St
Babylon, NY 11702-3508

Phone

(631) 587-2020

Fax

(631) 587-2087

NPI assigned

Jul 29, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Jaclyn Anne Benzoni, ODNPI 1205065935

Title

Ceo

Phone

(516) 546-3227

Specialties & licenses 1

Addresses

Tax ID family

Jaclyn Benzoni OD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jaclyn Benzoni OD PC

  • Optometrist
  • Merrick, NY
  • NPI 1538617790
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaclyn Anne Benzoni, O.D.

  • Optometrist
  • Merrick, NY
  • NPI 1205065935
  NPD Authorized official

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1871266411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 E MAIN ST",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023508",
            "telephone_number": "631-587-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 E MAIN ST",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023508",
            "telephone_number": "631-587-2020",
            "fax_number": "631-587-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACLYN BENZONI OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "BENZONI",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-546-3227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Babylon, NY
• Providers in Babylon, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.