Benjamin Optical is a medicare enrolled "Non-pharmacy Dispensing Site" provider in Staten Island, New York. Their current practice location is
1652 Richmond Ave Ste 4b, Staten Island, New York. You can reach out to their office (for appointments etc.) via phone at
(718) 982-9602.
Benjamin Optical is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Benjamin Optical
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1538690938.
Healthcare Provider's Profile
| Full Name | Benjamin Optical |
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| Type | Facility |
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| Speciality | Non-pharmacy Dispensing Site |
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| Location | 1652 Richmond Ave Ste 4b, Staten Island, New York |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1538690938
- Provider Enumeration Date: 03/27/2017
- Last Update Date: 01/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 8820374358
- Enrollment ID: O20170417001002
Medical Identifiers
Medical identifiers for Benjamin Optical such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538690938 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 332900000X | Non-pharmacy Dispensing Site | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Benjamin Optical acts as a billing entity for following providers:
| Provider Name | Neil Cooper |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1457303240
PECOS PAC ID: 5092818872
Enrollment ID: I20070315000299 |
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| Provider Name | Sheldon S Retkinski |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1144301425
PECOS PAC ID: 1254506082
Enrollment ID: I20111207000017 |
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| Provider Name | Miriam Korik |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1114544954
PECOS PAC ID: 8022436617
Enrollment ID: I20200914002240 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Benjamin Optical is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Benjamin Optical
1652 Richmond Ave Ste 4b,
Staten Island, NY 10314-1576
Ph: (718) 982-9607 | Benjamin Optical
1652 Richmond Ave Ste 4b,
Staten Island, NY 10314-1576
Ph: (718) 982-9602 |
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