Dennis Howard Benedict, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2708 Issued in TN

Practice address

156 Gigi LN
Loudon, TN 37774-2915

Phone

(865) 622-8035

NPI assigned

Feb 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Ferris State College - College of Optometry, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Jessup Mobile Opt TN LLC

  • Optometrist
  • Nashville, TN
  • NPI 1740763325
  Medicare reassignment NPD
• Dana E Gillin OD PC

  • Optometrist
  • Tecumseh, MI
  • NPI 1184801649
  NPD (past)
• SVC Inc.

  • Optometrist
  • Troy, MI
  • NPI 1376790279
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305763200000",
    "number": "1891833265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 GIGI LN",
            "city": "LOUDON",
            "state": "TN",
            "postal_code": "377742915",
            "telephone_number": "865-622-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 GIGI LN",
            "city": "LOUDON",
            "state": "TN",
            "postal_code": "377742915",
            "telephone_number": "865-622-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEDICT",
        "first_name": "DENNIS",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2011-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002846",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elliott Arnett, NBC-HWC
• Lisa L Baker, LCSW
• Bradley S Bauer, O.T.
• Kelly R Bauer, P.T.
• Brock Beeler, PT
• Richard Andrew Boehm, D.D.S.
• Gregory Eugene Bolt, PTA
• Kimberly Borneby, COTA
• Jason Bowman, D.D.S.
• Lindsey Bowman

• Optometrist in Loudon, TN
• Providers in Loudon, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; 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.