Organization Active NPI

Klamath Ophthalmology PC

Doing business as Benson Eye Center

  • Ophthalmology Physician
  • Klamath Falls, OR
National Provider Identifier
1962745414
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
KLAMATH OPHTHALMOLOGY PC
Doing business as
Benson Eye Center
Practice address
2615 Almond St
Klamath Falls, OR 97601-1176
Phone
(541) 883-3688
Fax
(541) 883-3687
NPI assigned
Apr 3, 2013
Last updated
Sep 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Authorized official

Name
Mr. Mark Terrence Fay, MDNPI 1972563781
Title
Owner
Phone
(541) 884-3148

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

2615 Almond St
Klamath Falls, OR 97601-1176

Mailing address

2640 Biehn St Ste 3
Klamath Falls, OR 97601-1181
Phone (541) 884-3148

Other identifiers 1

IdentifierTypeStateIssuer
057232MedicaidOR

Other names 1

  • Benson Eye Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040426000217 OR Part B Supplier - Clinic/Group Practice 4284620006 Receives reassigned benefits from 10 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Klamath Falls, OR; Lakeview, OR

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1962745414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 BIEHN ST STE 3",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011181",
            "telephone_number": "541-884-3148",
            "fax_number": "541-884-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 ALMOND ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011176",
            "telephone_number": "541-883-3688",
            "fax_number": "541-883-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLAMATH OPHTHALMOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "FAY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "TERRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-884-3148",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057232",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benson Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.