Organization Active NPI

Benjamin Eye Care Associates

  • Health Maintenance Organization
  • Lynn Haven, FL
National Provider Identifier
1922421627
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
OPC5017 Issued in FL
Legal business name
BENJAMIN EYE CARE ASSOCIATES
Practice address
3930 Arbor Trace Dr
Unit K
Lynn Haven, FL 32444-6729
Phone
(267) 519-7550
NPI assigned
Jan 31, 2014
Last updated
Aug 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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

Authorized official

Name
Dr. Binh D Than, O.D.NPI 1932529310
Title
Optometrist O.D.
Phone
(267) 519-7550

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X OEG002887 PA
Health Maintenance Organization 302R00000X OPC5017 FL Primary

Addresses

Primary practice location

3930 Arbor Trace Dr
Unit K
Lynn Haven, FL 32444-6729

Mailing address

3930 Arbor Trace Dr
Unit K
Lynn Haven, FL 32444-6729
Phone (267) 519-7550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160414000573 TX Part B Supplier - Clinic/Group Practice 5193023737 Receives reassigned benefits from 1 practitioner
Practice locations: Livingston, TX; New Caney, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1922421627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 ARBOR TRACE DR",
            "address_2": "UNIT K",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324446729",
            "telephone_number": "267-519-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 ARBOR TRACE DR",
            "address_2": "UNIT K",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324446729",
            "telephone_number": "267-519-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN EYE CARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-31",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "THAN",
        "authorized_official_first_name": "BINH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OPTOMETRIST O.D.",
        "authorized_official_telephone_number": "267-519-7550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "PA",
            "license": "OEG002887",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "OPC5017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.