BENJAMIN DEAN BRENNER (NPI# 1013205871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013205871 |
| Entity Type | Individual |
| Full Name | BENJAMIN DEAN BRENNER |
| Credential | O.D. |
| Practice Address |
3810 S Highway 27 Suite 1 Somerset KY 42501-3073 |
| Mailing Address |
127 Foothills Ave Suite 3 Albany KY 42602-1090 |
| Practice Telephone | 6066784551 |
| Practice Fax Number | 6066780972 |
| Mailing Telephone | 6063875612 |
| Mailing Fax Number | 6063876602 |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2012-02-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 2982 | TN | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 1837DT | KY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | DEA | MB2494766 | 01 |
| TN | MEDICARE PTAN | 103I419540 | 01 |
| KY | GROUP MEDICARE PIN PTAN FOR WILLIAMSBURG | 8351 | 01 |
| KY | GROUP MEDICARE PIN PTAN FOR ALBANY | 0966 | 01 |
| KY | DEA | MB2428642 | 01 |
| KY | GROUP MEDICARE PIN PTAN FOR SOMERSET | 2416 | 01 |
| KY | 7100184290 | 05 | |
| KY | GROUP MEDICARE PIN PTAN FOR WHITLEY | 8809 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447602461 | Benjamin Brenner | Physician Assistant | 1798 N Garey Ave, Pomona, CA 91767-2918 | 2016-07-02 |
| Street Address |
3810 S HIGHWAY 27 SUITE 1 |
| City | SOMERSET |
| State | KY |
| Zip Code | 42501-3073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124023809 | Mark A Jacobs | Optometrist | 3810 S Highway 27, Suite 1, Somerset, KY 42501-3073 | 2005-06-17 |
| 1467794263 | Tawnya L Muse | Dentist | 3810 S Highway 27, Suite 5, Somerset, KY 42501-3073 | 2013-03-20 |
| 1053666818 | Judy Chanthalangsy | Optometrist | 3810 S Highway 27, Suite 1, Somerset, KY 42501-3073 | 2012-07-18 |
| 1326044835 | Philip A. Robinson | Optometrist | 3810 S Highway 27, Suite 1, Somerset, KY 42501-3073 | 2005-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336703149 | Allison N. Simpson | Psychologist | 2411 South Highway 27, Somerset, KY 42501 | 2019-04-26 |
| 1043790983 | Lakeside Primary Care, Psc | Nurse Practitioner | 6470 S Hwy 27, Somerset, KY 42501 | 2018-08-20 |
| 1649763046 | Amber R Messamore | Nurse Practitioner | 200 Belmont Avenue, Somerset, KY 42501 | 2018-06-11 |
| 1174052534 | Gina Marie West | Case Manager/Care Coordinator | 100 Hardin Lane Suite 3, Somerset, KY 42501 | 2017-06-08 |
| 1790216935 | Jackie Bruecken | Hearing Instrument Specialist | 3311 S. Highway 27, Somerset, KY 42501 | 2017-03-21 |
| 1609326404 | Adam Michael Prather | Physical Therapist | 2835 South Highway Us 27, Suite 286b, Somerset, KY 42501 | 2016-10-05 |
| 1568910909 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 90 Stonegate Ctr, Somerset, KY 42501 | 2016-09-14 |
| 1336591510 | Lake Cumberland Community Action Agency, Inc. | Respite Care | 255 S. Maple Street, Somerset, KY 42501 | 2016-07-12 |
| 1508214677 | Aaron Atwood | Counselor | 3810 S Highway 27 Ste 4, Somerset, KY 42501 | 2016-05-31 |
| 1598136897 | Elizabeth Miller | Occupational Therapist | 303 Second Street, Somerset, KY 42501 | 2015-10-13 |
| Find all providers in zip 42501 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275182842 | Antonina Korneeva | Optometrist | 1075 Easton Ave Ste 1-2b, Somerset, NJ 08873-1648 | 2019-09-06 |
| 1285100768 | Jennifer B. Compton & Associates, Pllc | Optometrist | 709 E Mount Vernon St Ste 1, Somerset, KY 42501-1338 | 2018-10-22 |
| 1932633880 | Opthalmic Associates | Optometrist | 215 Georgian Place, Somerset, PA 15501-1610 | 2017-04-18 |
| 1871025213 | Ophthalmic Associates | Optometrist | 215 Georgian Pl, Somerset, PA 15501-1610 | 2017-04-03 |
| 1134409790 | Timothy A Sparkman | Optometrist | 3810 S Highway 27 Ste 1, Somerset, KY 42501-3073 | 2011-08-26 |
| 1497051163 | The Eyeglass Shoppe, Inc. | Optometrist | 121 S Center Ave, Somerset, PA 15501-2031 | 2011-01-28 |
| 1609034107 | Harvey Schleter O.d. Psc | Optometrist | 709 E Mount Vernon St, Somerset, KY 42501-1338 | 2008-05-30 |
| 1720256480 | Antoinette L Botti Od | Optometrist | 134 West Main St, Somerset, PA 15501 | 2008-02-15 |
| 1518086347 | Huffman and Huffman Psc | Optometrist | 303 Langdon St, Somerset, KY 42503-2750 | 2007-03-29 |
| 1346390614 | Justin Onshek Wong | Optometrist | 37 Clyde Rd Ste 104, Somerset, NJ 08873-5034 | 2007-01-11 |
| Find all providers in SOMERSET | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.