NPIMap

Organization Active NPI

Benjamin Ondersma OD LLC

  • Health Maintenance Organization
  • Columbia, SC
National Provider Identifier
1982009932
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
1609 Issued in SC
Legal business name
BENJAMIN ONDERSMA OD LLC
Practice address
127 Barton Creek CT
Columbia, SC 29229-8027
Phone
(803) 754-8370
Fax
(803) 754-8371
NPI assigned
Nov 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Authorized official

Name
Dr. Benjamin Jacob Ondersma, O.D.NPI 1649590936
Title
Optometrist/Owner
Phone
(616) 510-5336

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
Health Maintenance Organization 302R00000X 1609 SC Primary

Addresses

Primary practice location

127 Barton Creek CT
Columbia, SC 29229-8027

Mailing address

127 Barton Creek CT
Columbia, SC 29229-8027
Phone (803) 754-8370

Other practice location 1

408 E Dekalb St Ste C
Camden, SC 29020-4429
Phone (803) 424-1142

Other names 3

  • Camden Eye Care Center Doing business as
  • Eye Concepts Doing business as
  • Northeast Eye Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190103000050 SC Part B Supplier - Clinic/Group Practice 9739424292 Receives reassigned benefits from 2 practitioners
Practice locations: Columbia, SC

National Provider Directory

National Provider Directory

Locations

408 E DeKalb St
Ste C
Camden, SC 29020
Phone (803) 424-1142

331 Killian Rd
Ste B2
Columbia, SC 29203
Phone (803) 754-8370

127 Barton Creek Ct
Columbia, SC 29229
Phone (803) 754-8370

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": "1414800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1982009932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 BARTON CREEK CT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292298027",
            "telephone_number": "803-754-8370",
            "fax_number": "803-754-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 BARTON CREEK CT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292298027",
            "telephone_number": "803-754-8370",
            "fax_number": "803-754-8371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "408 E Dekalb St Ste C",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "SC",
            "postal_code": "290204429",
            "country_code": "US",
            "telephone_number": "803-424-1142",
            "fax_number": "803-713-0836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BENJAMIN ONDERSMA OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-01",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "ONDERSMA",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "616-510-5336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "SC",
            "license": "1609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camden Eye Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eye Concepts",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northeast Eye Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.