Organization Active NPI

Benchmark Optical PLLC

  • Optometrist
  • Chelsea, MI
National Provider Identifier
1881099307
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003753 Issued in MI
Legal business name
BENCHMARK OPTICAL PLLC
Practice address
1171 S Main St Ste 2
Chelsea, MI 48118-1621
Phone
(734) 475-0300
NPI assigned
Oct 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Authorized official

Name
Dr. Brian M Carney, O.D.NPI 1356339998
Title
President
Phone
(734) 475-0300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4901003753 MI Primary

Addresses

Primary practice location

1171 S Main St Ste 2
Chelsea, MI 48118-1621

Mailing address

1171 S Main St Ste 2
Chelsea, MI 48118-1621
Phone (734) 475-0300

Other names 1

  • Chelsea Optometry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150108002175 MI Part B Supplier - Clinic/Group Practice 7517280084 Receives reassigned benefits from 1 practitioner
Practice locations: Chelsea, MI
O20150608000478 MI DME Supplier - Physician - Optometrist 7517280084 Practice locations: Chelsea, MI

National Provider Directory

National Provider Directory

Locations

1171 S Main St
Ste 2
Chelsea, MI 48118
Phone (734) 475-0300

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1881099307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 S MAIN ST STE 2",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181621",
            "telephone_number": "734-475-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 S MAIN ST STE 2",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181621",
            "telephone_number": "734-475-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENCHMARK OPTICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "CARNEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-475-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chelsea Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chelsea, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.