DR. BENJAMIN JOHNSON CRIDER (NPI# 1215375480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215375480 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN JOHNSON CRIDER |
| Credential | O.D. |
| Practice Address |
101 W Kirkwood Ave Suite 120 Bloomington IN 47404-6129 |
| Mailing Address |
9795 Crosspoint Blvd Suite 100 Indianapolis IN 46256-3354 |
| Practice Telephone | 8123319082 |
| Practice Fax Number | 8123311301 |
| Mailing Telephone | 3172546480 |
| Mailing Fax Number | 3172598609 |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2014-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 18003787 | IN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000831910 | 01 |
| Street Address |
101 W KIRKWOOD AVE SUITE 120 |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47404-6129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558342006 | Richard Melvin Balaban | Psychologist | 101 W Kirkwood Ave, Suite 213, Bloomington, IN 47404-6129 | 2005-11-10 |
| 1194211581 | Myeyedr Optometry of Indiana, LLC | Optometrist | 101 W Kirkwood Ave, Bloomington, IN 47404 | 2018-07-09 |
| 1922534221 | Fiora Pizzo Lcsw Counseling LLC | Social Worker | 101 W Kirkwood Ave, Ste. 222, Bloomington, IN 47404-6129 | 2017-05-04 |
| 1881098648 | Bloomington Massage & Bodyworks | Massage Therapist | 101 W Kirkwood Ave, Suite 127, Bloomington, IN 47404-6129 | 2014-10-22 |
| 1821412602 | Laura Lininger, Lcsw Counseling Services, LLC | Counselor | 101 W Kirkwood Ave, Fountain Square, Suite 218, Bloomington, IN 47404-6129 | 2014-02-13 |
| 1043569072 | Ossip Optometry, P.c | Optometrist | 101 W Kirkwood Ave, Ste 120, Bloomington, IN 47404-6129 | 2012-09-06 |
| 1760751069 | Nicki Williamson, Msw, Lcsw, LLC | Psychiatric Unit | 101 W Kirkwood Ave, Suite 121, Bloomington, IN 47404-6129 | 2011-12-16 |
| 1083998447 | Nicholas Gregory Butcher | Counselor | 101 W Kirkwood Ave, Suite 210, Bloomington, IN 47404-6129 | 2011-10-04 |
| 1922231554 | Julia Gruber Arany | Psychologist | 101 W Kirkwood Ave, Suite 103, Bloomington, IN 47404-6129 | 2009-08-31 |
| 1063689545 | Gigi P Stowe Phd Psychological Services LLC | Psychologist | 101 W Kirkwood Ave, Suite 216, Bloomington, IN 47404-6129 | 2008-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526631 | Sandra Clark | Counselor | 205 N College Avenue, Suite 210a, Bloomington, IN 47404 | 2020-07-29 |
| 1750926085 | Michelle Christine Dustin | Nurse Practitioner | 610 N Morton Street, Bloomigton, IN 47404 | 2019-11-11 |
| 1316440191 | Julie D'argent | Psychologist | 205 N College Ave Ste 430, Bloomington, IN 47404 | 2018-03-17 |
| 1770966467 | Richard Lawson | Counselor | 1117 North Jackson Street, Bloomington, IN 47404 | 2015-06-30 |
| 1477952109 | Teresa R. Foster | Social Worker | 205 N. College Avenue, Suite 210b, Bloomington, IN 47404 | 2014-08-19 |
| 1073879532 | First Health Plus, Inc | Clinic/Center | 104 North Curry Pike, Bloomington, IN 47404 | 2012-04-09 |
| 1497079982 | Tera Dee Nance | Counselor | 101 W. Kirkwood Avenue, Suite 009 Fountain Square Mall, Bloomington, IN 47404 | 2010-03-26 |
| 1962643114 | Pathways Counseling Center | Community/Behavioral Health | 3866 W. Third Street, Bloomington, IN 47404 | 2009-03-18 |
| 1932358595 | Catherine Elizabeth Batka | Psychologist | 101 W. Kirkwood Ave, Suite 103, Bloomington, IN 47404 | 2008-09-18 |
| 1396901005 | Kijin Woo | Dentist | 330 N Jacob Drive, Bloomington, IN 47404 | 2008-08-01 |
| Find all providers in zip 47404 | ||||
| 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 |
|---|---|---|---|---|
| 1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
| 1245650639 | Scott A Miller Od LLC | Optometrist | 3313 W State Road 45, Bloomington, IN 47403-5107 | 2014-04-24 |
| 1184044224 | Thomas Gast | Optometrist | 414 S Meadowbrook Dr, Bloomington, IN 47401-4227 | 2014-04-16 |
| 1740520790 | Hoosier Eye Doctor Inc | Optometrist | 4719 W State Road 46, Bloomington, IN 47404-9518 | 2013-02-27 |
| 1285979377 | Jenna Marie Dale | Optometrist | 322 S. Woodcrest Drive Precision Eye Group, Bloomington, IN 47401 | 2012-11-30 |
| 1558661918 | Shu Sheng Phung | Optometrist | 315 S Center St, Bloomington, IL 61701-5101 | 2010-11-01 |
| 1760610265 | Denver Joseph Mcdaniel | Optometrist | 1105 S College Mall Rd, Bloomington, IN 47401-6177 | 2009-06-24 |
| 1194987131 | Diana Lynn Christensen | Optometrist | 3205 West State Road 45, Christensen Eye Care, Bloomington, IN 47403 | 2008-07-01 |
| 1548458623 | William B. Witte, Ltd | Optometrist | 2409 E Washington St, Bloomington, IL 61704-4483 | 2007-10-14 |
| 1740472216 | Mark A Houser | Optometrist | 3818 W Woodyard Rd, Bloomington, IN 47404-1430 | 2007-08-17 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47404 |
Please comment or provide details below to improve the information on DR. BENJAMIN JOHNSON CRIDER.
| 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.