Andrew Thomas Benedict, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2024013145 Issued in 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

Last updated

Jul 25, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in IL, MO2 enrollments

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 2

Specialty

Optometry

Education

Indiana University - School of Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Care LLCGroup PAC ID 4385544600, 49 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eye Care, LLC

  dba Discover Vision Centers

  • Ophthalmology Physician
  • Harrisonville, MO
  • NPI 1609066034

  Optometrist

  Medicare reassignment Care Compare group NPD
• Wyman Sicher Eye Associates SC

  dba Illinois Eye Center SC

  • Ophthalmology Physician
  • Peoria, IL
  • NPI 1679593123
  Medicare reassignment NPD
• Eye Care, LLC

  dba Discover Vision Centers

  • Optometrist
  • Raymore, MO
  • NPI 1023597127
  NPD
• Wyman Sicher Eye Associates SC

  dba Illinois Eye Center

  • Eyewear Supplier
  • Pekin, IL
  • NPI 1114537123

  Optometrist

  NPD
• Eye Care LLC

  dba Discover Vision Centers

  • Ophthalmology Physician
  • Independence, MO
  • NPI 1750374567

  Optometrist

  NPD (past)

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

{
    "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": []
}

• Jana Bedsworth, OTR
• Erin C Bell, MFT
• Gordon Andrew Bell, M.D.
• Natalie Lisa Beltgens, DDS
• Bethany Ann Bendorf, PTA
• Benjamin O. Stiles, D.C., P.C. (Stiles Chiropractic Center)
• Shannon Benjamin
• Bennett Eyecare Midwest, LLC
• Anne Bennett, CPNP
• Heather Deneane Bersuch

• Optometrist in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.