Peter B Benvenuto, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD 555 T Issued in TN

Practice address

2817 Bartlett Blvd
Bartlett, TN 38134-4529

Phone

(901) 371-0770

Fax

(901) 371-9892

NPI assigned

Feb 19, 2006

Last updated

Dec 4, 2020By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Practitioners 1

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.

• Jennifer Willcox, OD

  • Optometrist
  • Bartlett, TN
  • NPI 1851808794
  Medicare reassignment

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.

• Myeyedr Optometry of Tennessee, LLC

  dba MyEyeDr.

  • Optometrist
  • Chattanooga, TN
  • NPI 1619481587
  Medicare reassignment NPD
• Myeyedr Optometry of Tennessee, LLC

  • Optometrist
  • Mount Juliet, TN
  • NPI 1588516918
  NPD
• Myeyedr Optometry of Tennessee, LLC

  dba MyEyeDr.

  • Optometrist
  • Memphis, TN
  • NPI 1639638059
  NPD

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

{
    "created_epoch": "1140307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1992770416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 BARTLETT BLVD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381344529",
            "telephone_number": "901-371-0770",
            "fax_number": "901-371-9892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENVENUTO",
        "first_name": "PETER",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-19",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD 555 T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisa Isabel Benaim, MD
• Benchmark Medical Transportation, LLC
• Myles B Benjamin, FNP
• Nora Mackenzie Bennett, DPT
• Richard Bryant Benton, PHARM. D.
• Paul Michael Berkes, L.P.C., M.H.S.P.
• Carmen Berretta
• Jessa Claire Bibb
• Big Bend Pharmacy, LLC
• Rebecca L Bills, O.D.

• Optometrist in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.