BENNETT OPTOMETRY LLC (NPI# 1013904028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013904028 |
| Entity Type | Organization |
| Organization Name | BENNETT OPTOMETRY LLC |
| Other Organization Name | BENNETT OPTOMETRY |
| Practice Address |
2000 Green Rd Suite 200 Ann Arbor MI 48105-1598 |
| Mailing Address |
117 S Main St Ste 200 Ann Arbor MI 48104-1902 |
| Practice Telephone | 6362004393 |
| Practice Fax Number | 7349302390 |
| Mailing Telephone | 7349302373 |
| Mailing Fax Number | 7349302390 |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2019-09-13 |
| Authorized Official Name | JAMES J. WACHTER (PRESIDENT/OWNER) |
| Authorized Official Telephone | 6362004393 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
Eye and Vision Services Providers | ||
| N | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
Eye and Vision Services Providers | ||
| N | 152WP0200X |
Optometrist Specialization: Pediatrics |
Eye and Vision Services Providers | ||
| N | 152WS0006X |
Optometrist Specialization: Sports Vision |
Eye and Vision Services Providers | ||
| N | 152WV0400X |
Optometrist Specialization: Vision Therapy |
Eye and Vision Services Providers | ||
| N | 152WX0102X |
Optometrist Specialization: Occupational Vision |
Eye and Vision Services Providers | ||
| Y | 152W00000X | Optometrist | BME-016097 | MI | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Bennett Optometry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194336446 | Bennett Optometry LLC | Optometrist | 555 E Michigan Ave, Saline, MI 48176-1588 | 2020-08-11 |
| 1851902100 | Bennett Optometry LLC | Optometrist | 138 W Chicago Blvd, Tecumseh, MI 49286-1553 | 2020-08-11 |
| 1003427352 | Bennett Optometry LLC | Optometrist | 1928 W Stadium Blvd, Ann Arbor, MI 48103-4504 | 2020-08-11 |
| 1740824648 | Bennett Optometry LLC | Optometrist | 22 N Telegraph Rd, Pontiac, MI 48341-1166 | 2019-11-04 |
| 1992792154 | Bennett Optometry LLC | Optometrist | 117 S Main St, Ann Arbor, MI 48104-1902 | 2005-10-03 |
| Street Address |
2000 GREEN RD SUITE 200 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48105-1598 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508861089 | Brian M Treon | Emergency Medicine | 2000 Green Rd, Suite 300, Ann Arbor, MI 48105-1598 | 2005-06-20 |
| 1306299649 | Adam Lucas Ihrig | Physician Assistant | 2000 Green Rd, Suite 300, Ann Arbor, MI 48105-1598 | 2016-07-22 |
| 1386035244 | Megan Nicole England | Nurse Practitioner | 2000 Green Rd, Ann Arbor, MI 48105-1598 | 2015-02-13 |
| 1477950095 | Jaclyn Nicole Anderson | Physician Assistant | 2000 Green Rd, 300, Ann Arbor, MI 48105-1598 | 2014-11-25 |
| 1023412814 | Sheena Marie James | Nurse Practitioner | 2000 Green Rd, Suite 300, Ann Arbor, MI 48105-1598 | 2014-10-22 |
| 1295138725 | Amy Marie Timmins | Physician Assistant | 2000 Green Rd, 300, Ann Arbor, MI 48105-1598 | 2014-09-29 |
| 1295164382 | Ivan Parra | Registered Nurse | 2000 Green Rd, Suite300, Ann Arbor, MI 48105 | 2013-11-08 |
| 1669722047 | Jeffery James Cornell | Physician Assistant | 2000 Green Rd, Ste 300, Ann Arbor, MI 48105-1598 | 2012-09-13 |
| 1104114693 | Beverly Utt | Nurse Practitioner | 2000 Green Rd, Ann Arbor, MI 48105-1598 | 2011-07-18 |
| 1770870578 | Benjamin Glasener | Emergency Medicine | 2000 Green Rd, Suite 300, Ann Arbor, MI 48105-1598 | 2011-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730728718 | Alexander Jendrusina | Psychologist | Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 | 2019-12-23 |
| 1417515875 | Christine Shyh Wang | Student in an Organized Health Care Education/Training Program | 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2019-05-31 |
| 1013475003 | Ryan Wang | Physician Assistant | 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 | 2019-03-08 |
| 1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
| 1568955730 | Alexander Sliwicki | Pediatrics | 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 | 2018-06-12 |
| 1902398464 | Austin Remington | Student in an Organized Health Care Education/Training Program | 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2018-05-31 |
| 1881191658 | Stephen James Hickner | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 | 2018-04-09 |
| 1245681709 | Winnie Nhan | Internal Medicine | 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 | 2016-06-27 |
| 1861857971 | Connie Chen | Pharmacist | 2215 Fuller Road (119), Ann Arbor, MI 48105 | 2015-12-17 |
| 1407241193 | Stefan Craciun | Emergency Medicine | 3484 Ashburnam Rd, Ann Arbor, MI 48105 | 2015-03-31 |
| Find all providers in zip 48105 | ||||
| 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 |
|---|---|---|---|---|
| 1457894073 | Rx Optical Laboratories, Inc | Optometrist | 3275 Washtenaw Ave, Ann Arbor, MI 48104-4201 | 2016-11-30 |
| 1306235262 | Rx Optical Laboratories, Inc. | Optometrist | 867 W Eisenhower Pkwy, Ann Arbor, MI 48103-6641 | 2015-01-15 |
| 1962810614 | Claire Kosters Peskosky | Optometrist | 3500 Washtenaw Ave, Ann Arbor, MI 48104-5244 | 2014-07-25 |
| 1861809139 | Dana Richter | Optometrist | 1937 Coronada St, Ann Arbor, MI 48103-5013 | 2014-07-17 |
| 1457584328 | Marian Victoria Wardell | Optometrist | 3601 Washtenaw Ave, Suite E, Ann Arbor, MI 48104-5277 | 2009-08-26 |
| 1336349653 | Look Eye Centers LLC | Optometrist | 4900 Washtenaw Ave, Ann Arbor, MI 48108-1414 | 2007-07-24 |
| 1629291661 | See Inc. | Optometrist | 308 S State St, Ann Arbor, MI 48104-2412 | 2007-04-10 |
| 1346380185 | Thomas Barker Roth | Optometrist | 2500 Packard Rd, Ste #103, Ann Arbor, MI 48104-6827 | 2007-02-08 |
| 1194865063 | Jean Christenson | Optometrist | 2555 Jackson Ave, Ann Arbor, MI 48103-3818 | 2007-02-08 |
| 1164590303 | Arnold Bulos | Optometrist | 856 Briarwood Cir, Briarwood Mall, Ann Arbor, MI 48108-1616 | 2006-12-04 |
| Find all providers in ANN ARBOR | ||||
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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.