Organization Active NPI

Steven I Bench OD, PC

  • Optometrist
  • Niagara Falls, NY
National Provider Identifier
1972633543
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
003048 Issued in NY
Legal business name
STEVEN I BENCH OD, PC
Doing business as
Niagara Falls Eyecare
Niagara Falls Eyecare Optical
Practice address
151 Buffalo Ave
Suite 206
Niagara Falls, NY 14303-1243
Phone
(716) 284-9449
Fax
(716) 284-9467
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Authorized official

Name
Lorna Krulisky
Title
Office Manager
Phone
(716) 284-9449

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 003048 NY Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

151 Buffalo Ave
Suite 206
Niagara Falls, NY 14303-1243

Mailing address

151 Buffalo Ave
Niagara Falls, NY 14303-1243
Phone (716) 284-9449

Other identifiers 5

IdentifierTypeStateIssuer
00631365MedicaidNY
003001633OtherNYBLUE CROSS & BLUE SHIELD
01914167MedicaidNY
00010231601OtherNYUNIVERA COMMUNITY HEALTH
J300094807OtherNYMEDICARE

Other names 2

  • Niagara Falls Eyecare Doing business as
  • Niagara Falls Eyecare Optical Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211118000328 NY Part B Supplier - Clinic/Group Practice 7113316860 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Buffalo, NY; Niagara Falls, NY

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Steven I Bench OD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

151 Buffalo Ave
Ste 206
Niagara Falls, NY 14303
Phone (716) 284-9449

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1972633543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 BUFFALO AVE",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143031243",
            "telephone_number": "716-284-9449",
            "fax_number": "716-284-9467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 BUFFALO AVE",
            "address_2": "SUITE 206",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143031243",
            "telephone_number": "716-284-9449",
            "fax_number": "716-284-9467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN I BENCH OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "KRULISKY",
        "authorized_official_first_name": "LORNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "716-284-9449"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "003048",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00631365",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "003001633",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01914167",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA COMMUNITY HEALTH",
            "identifier": "00010231601",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "J300094807",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Niagara Falls Eyecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Niagara Falls Eyecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Niagara Falls Eyecare Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.