Andrew Thomas Benedict, OD

Key facts

NPI

1962943399

Entity type

Individual (NPI type 1)

Primary specialty

Optometrist 152W00000X

License

2024013145 (MO)

Practice address

211 N 7 Hwy
Blue Springs, MO 64014-2728

Phone

(816) 478-1230

Fax

(816) 478-4413

NPI assigned

Mar 18, 2017

Sex

Male

Sole proprietor

No

Organizations & group practices 6

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.

• Eye Care, LLC Ophthalmology Physician · Harrisonville, MO · NPI 1609066034
  Medicare reassignment Care Compare group NPD MO · OPTOMETRIST
• Wyman Sicher Eye Associates SC Ophthalmology Physician · Peoria, IL · NPI 1679593123
  Medicare reassignment NPD IL
• Eye Care, LLC Optometrist · Leawood, KS · NPI 1881884211
  Care Compare group
• Eye Care, LLC Optometrist · Raymore, MO · NPI 1023597127
  NPD OPTOMETRIST
• Wyman Sicher Eye Associates SC Eyewear Supplier · Pekin, IL · NPI 1114537123
  NPD OPTOMETRIST
• Eye Care LLC Ophthalmology Physician · Independence, MO · NPI 1750374567
  NPD (past) OPTOMETRIST

Medicare Care Compare profile

Specialty

Optometry

Education

Indiana University - School of Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Care LLC (49 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in IL, MO

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: abenedict@direct.dvc.nextgenshare.com
• Direct secure messaging: direct@illinoiseyecenterpeoriail.compulinkdirect.com

Specialties & licenses

Addresses

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 25, 2024.

{
    "created_epoch": "1489795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1962943399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4741 S COCHISE DR",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556974",
            "telephone_number": "816-478-1230",
            "fax_number": "816-478-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N 7 HWY",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142728",
            "telephone_number": "816-478-1230",
            "fax_number": "816-478-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEDICT",
        "first_name": "ANDREW",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-18",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011255",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2024013145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Direct@IllinoisEyeCenterPeoriaIL.CompulinkDirect.com",
            "affiliation": "N",
            "endpointDescription": "CCD only, does not accept attachments",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8921 N Wood Sage Rd",
            "city": "Peoria",
            "state": "IL",
            "country_code": "US",
            "postal_code": "616157822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "abenedict@direct.dvc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "211 N 7 Hwy",
            "city": "Blue Springs",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640142728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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All providers in Blue Springs, MO · Optometrist in Missouri