MATTHEW JAMES BENAGE (NPI# 1013364165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013364165 |
Entity Type | Individual |
Full Name | MATTHEW JAMES BENAGE |
Credential | MD |
Practice Address |
2525 Ne 139th St Ste 280 Vancouver WA 98686-2719 |
Mailing Address |
Po Box 4825 Portland OR 97208-4825 |
Practice Telephone | 3608822778 |
Practice Fax Number | 3606041780 |
Mailing Telephone | 3608822778 |
Enumeration Date | 2016-05-18 |
Last Update Date | 2020-10-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207W00000X | Ophthalmology | MD61034769 | WA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 2159830 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
200 Hawkins Dr, Iowa City, IA 522421009 | 4175312229 |
Street Address |
2525 NE 139TH ST STE 280 |
City | VANCOUVER |
State | WA |
Zip Code | 98686-2719 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033377973 | Matthew J Hauck | Ophthalmology | 2525 Ne 139th St Ste 280, Vancouver, WA 98686 | 2008-05-28 |
1033598172 | Alexander S Choy | Optometrist | 2525 Ne 139th St Ste 280, Vancouver, WA 98686-2719 | 2015-05-21 |
1992064596 | Huong Le Fearington | Optometrist | 2525 Ne 139th St Ste 280, Vancouver, WA 98686-2719 | 2012-05-16 |
1942568670 | David Loren Simons | Ophthalmology | 2525 Ne 139th St Ste 280, Vancouver, WA 98686-2719 | 2012-05-01 |
1053627398 | Jessica Kao Lee | Optometrist | 2525 Ne 139th St Ste 280, Vancouver, WA 98686-2719 | 2010-08-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154891117 | Dorota Bozena Barton | Speech-Language Pathologist | 2121 Ne 139th Street Mob A, Suite 200, Vancouver, WA 98686 | 2018-12-03 |
1881161818 | Michelle Wolfe | Dental Assistant | A101, 1484, 14313 Ne 20th Ave, Vancouver, WA 98686 | 2018-10-29 |
1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
1801382387 | Kristopher K Kostenko | Dentist | 14201 Ne 20th Ave Ste A101, Vancouver, WA 98686 | 2018-07-08 |
1689164071 | Tegan Mills | Occupational Therapist | 7101 Ne 109th Street, Apt 64, Vancouver, WA 98686 | 2018-05-11 |
1164924122 | Kate Kristin Lawrence | Speech-Language Pathologist | 2215 Ne 104th St, Vancouver, WA 98686 | 2018-03-06 |
1437609567 | Elina Baranets | Registered Nurse | 14204 Ne Salmon Creek Avenue, Vancouver, WA 98686 | 2016-10-13 |
1386039550 | Sean Vikram Bhatia | Internal Medicine | Kaiser Salmon Creek, 14406 Ne 20th Ave, Vancouver, WA 98686 | 2015-04-03 |
1376988642 | Lindsay Hussey-andersen | Orthopaedic Surgery | 2525 Ne 139th St Ste 140, Vancouver, WA 98686 | 2013-05-01 |
1710253109 | Legacy Salmon Creek Hospital | Speech-Language Pathologist | 2121 Ne 139th St., Mob A, Ste 200, Vancouver, WA 98686 | 2012-03-29 |
Find all providers in zip 98686 |
Taxonomy Code | 207W00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033377973 | Matthew J Hauck | Ophthalmology | 2525 Ne 139th St Ste 280, Vancouver, WA 98686 | 2008-05-28 |
1760674592 | Stanley Lloyd Crews | Ophthalmology | 12306 Se Mill Plain Blvd, Vancouver, WA 98684-6061 | 2007-08-15 |
1013959279 | Emanuel Tanne | Ophthalmology | 6517 Buena Vista Drive, Vancouver, WA 98661 | 2006-06-12 |
1801842596 | Brian Ralph Will | Ophthalmology | 8100 Ne Parkway Dr, Suite #125, Vancouver, WA 98662-6742 | 2006-05-25 |
1447213004 | Janet I Gordon | Ophthalmology | 7017 Ne Hwy 99, Suite 201, Vancouver, WA 98665 | 2006-04-06 |
1619942265 | Theresa L Clayton | Ophthalmology | 3200 Main Street, Vancouver, WA 98663 | 2006-02-17 |
1467437509 | Joyce E Choe | Ophthalmology | 2205 Ne 129th St, Vancouver, WA 98686-3252 | 2005-12-13 |
1942568670 | David Loren Simons | Ophthalmology | 2525 Ne 139th St Ste 280, Vancouver, WA 98686-2719 | 2012-05-01 |
1700158110 | Eye Care Specialists of Vancouver, PC | Ophthalmology | 505 Ne 87th Ave, Suite 100, Vancouver, WA 98664-1989 | 2012-01-31 |
1912299256 | Evan A Olson | Ophthalmology | 2525 Ne 139th St, #280, Vancouver, WA 98686-2719 | 2011-05-04 |
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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.