DR. ANGELO CARMELO BENVENUTO JR. (NPI# 1336589464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336589464 |
Entity Type | Individual |
Full Name | DR. ANGELO CARMELO BENVENUTO JR. |
Credential | O.D. |
Practice Address |
3579 Alpine Ave Nw Grand Rapids MI 49544-1635 |
Practice Telephone | 6164323591 |
Mailing Telephone | 6164323591 |
Enumeration Date | 2013-07-03 |
Last Update Date | 2013-10-11 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | 4901004785 | MI | Eye and Vision Services Providers |
Street Address |
3579 ALPINE AVE NW |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49544-1635 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023340528 | Eyemart Express | Eyewear Supplier (Equipment, not the service) | 3579 Alpine Ave Nw, Suite 15, Grand Rapids, MI 49544-1635 | 2010-02-08 |
1871909788 | Christina Rexford | Optometrist | 3579 Alpine Ave Nw, Grand Rapids, MI 49544-1635 | 2014-07-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437764511 | Titiana Shanee Richardson | Social Worker | 113 Lake Michigan Drive Northwest, Grand Rapids, MI 49544 | 2020-09-15 |
1699317792 | Leah Grace Nesburg | Speech-Language Pathologist | 600 3 Mile Road Nw, Suite 102, Walker, MI 49544 | 2019-10-10 |
1316467954 | Hendrik Vanholsbeeck | Dentist | 2515 Alpine Ave Nw # A, Grand Rapids, MI 49544 | 2017-06-25 |
1467988584 | Leah Feenstra | Behavior Technician | 668 3 Mile Nw, Grand Rapids, MI 49544 | 2017-05-10 |
1760920698 | Heidi Catherine Stultz-griffey | Pharmacist | 970 4 Mile Rd Nw Apt 1d, Grand Rapids, MI 49544 | 2017-02-12 |
1336591791 | Nicole Totten | Dentist | 3320 Alpine Ave., Grand Rapids, MI 49544 | 2016-07-11 |
1255789145 | Lucas David Kelley | Technician, Other | 668 3 Mile Ave Nw, Suite 2, Grand Rapids, MI 49544 | 2016-06-01 |
1144611666 | Stephen Kornoely | Social Worker | 2118 3 Mile Road Nw, Grand Rapids, MI 49544 | 2015-02-06 |
1023368305 | Brian William Rogers | Registered Nurse | 712 North Center Dr. Nw, Grand Rapids, MI 49544 | 2012-09-14 |
1477885325 | Wilson and Wynn Interventions | Community/Behavioral Health | 680 Three Mile Nw, Suite 150, Grand Rapids, MI 49544 | 2010-02-03 |
Find all providers in zip 49544 |
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 |
---|---|---|---|---|
1295352987 | Ashleigh Yates | Optometrist | 3152 Peregrine Dr Ne Ste 205, Grand Rapids, MI 49525-9723 | 2020-06-29 |
1659997252 | Peter Silman | Optometrist | 3152 Peregrine Dr Ne # C205, Grand Rapids, MI 49525-9723 | 2020-06-19 |
1821613225 | Adam Hoffhines | Optometrist | 3159 28th St Se, Grand Rapids, MI 49512-7810 | 2020-06-11 |
1184283285 | Carrie Mitera | Optometrist | 1712 Timberlane Ln Ne, Grand Rapids, MI 49505-4442 | 2019-06-12 |
1366934879 | Maxwell Edward Rennaker | Optometrist | 2700 5 Mile Rd Ne Ste 102, Grand Rapids, MI 49525-6516 | 2018-05-31 |
1750830261 | Rx Optical Laboratories, Inc | Optometrist | 2000 E Beltline Ave Ne, Grand Rapids, MI 49525-9716 | 2016-09-26 |
1851759716 | Premier Family Eye Care PC. | Optometrist | 6748 Kalamzoo Ave S.e, Grand Rapids, MI 49508-7032 | 2016-02-08 |
1093198483 | I Care Optics LLC | Optometrist | 2425 Lake Michigan Dr Nw, Grand Rapids, MI 49504-4652 | 2015-07-02 |
1891103818 | Adeline Bauer | Optometrist | 1000 E Paris Ave Se Ste 130, Grand Rapids, MI 49546-3680 | 2014-07-23 |
1790106136 | Rx Optical Laboratories, Inc. | Optometrist | 1844 Breton Rd Se, Grand Rapids, MI 49506-4869 | 2014-01-03 |
Find all providers in GRAND RAPIDS |
City | GRAND RAPIDS |
Zip Code | 49544 |
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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.