Organization Active NPI

Bender Eyecare Inc.

  • Optometrist
  • Johns Creek, GA
National Provider Identifier
1942519681
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BENDER EYECARE INC.
Practice address
2880 Old Alabama Rd Ste 300
Johns Creek, GA 30022-5033
Phone
(770) 740-2000
Fax
(678) 387-3904
NPI assigned
Sep 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Authorized official

Name
Kristin BenderNPI 1205861846
Title
Owner
Phone
(770) 740-2000

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 GA Primary

Addresses

Primary practice location

2880 Old Alabama Rd Ste 300
Johns Creek, GA 30022-5033

Mailing address

2880 Old Alabama Rd Ste 300
Johns Creek, GA 30022-5033
Phone (770) 740-2000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101214000721 GA Part B Supplier - Clinic/Group Practice 6406751684 Receives reassigned benefits from 1 practitioner
Practice locations: Johns Creek, GA

National Provider Directory

National Provider Directory

Locations

9925 Haynes Bridge Rd
Ste 710
Johns Creek, GA 30022
Phone (770) 740-2000

9925 Haynes Bridge Rd
Ste 710A
Johns Creek, GA 30022

Practitioners & affiliated clinicians

Practitioners 3

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": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771545600000",
    "number": "1942519681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 OLD ALABAMA RD STE 300",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300225033",
            "telephone_number": "770-740-2000",
            "fax_number": "678-387-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 OLD ALABAMA RD STE 300",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300225033",
            "telephone_number": "770-740-2000",
            "fax_number": "678-387-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENDER EYECARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A",
        "authorized_official_last_name": "BENDER",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-740-2000"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; 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.