SHANON S BENCKER (NPI# 1972612075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972612075 |
| Entity Type | Individual |
| Full Name | SHANON S BENCKER |
| Credential | OD |
| Practice Address |
738 Kirkwood Mall Midwest Vision Centers Bismarck ND 58504 |
| Mailing Address |
738 Kirkwood Mall Bismarck ND 58504 |
| Practice Telephone | 7012588810 |
| Practice Fax Number | 7012588811 |
| Mailing Telephone | 7012588810 |
| Mailing Fax Number | 7012588811 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 551 | ND | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 60523 | 05 |
| Street Address |
738 KIRKWOOD MALL MIDWEST VISION CENTERS |
| City | BISMARCK |
| State | ND |
| Zip Code | 58504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851463590 | Midwest Vision Centers Inc | Technician/Technologist | 738 Kirkwood Mall, Bismarck, ND 58504-5753 | 2006-11-15 |
| 1275639668 | David M Remboldt | Optometrist | 738 Kirkwood Mall, Bismarck, ND 58504 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578077 | Hit Inc. | Community/Behavioral Health | 1517/1519 S Washington St, Bismarck, ND 58504 | 2020-11-03 |
| 1518568963 | Hit Inc. | Community/Behavioral Health | 1509/1511 S Washington St., Bismarck, ND 58504 | 2020-11-03 |
| 1366926594 | Lisa Elizabeth Morgan | Counselor | 2600 Manchester St, Bismarck, ND 58504 | 2018-09-24 |
| 1528557006 | Mees Physical Therapy LLC | Physical Therapist | 109 Mcdougall Dr., Suite 4, Lincoln, ND 58504 | 2018-05-09 |
| 1437666856 | Katy Thomas | Social Worker | 3315 University Drive, Bismasrck, ND 58504 | 2018-01-08 |
| 1407396864 | Allison Bitz | Social Worker | 600 S. Second St., Suite 220, Bismarck, ND 58504 | 2017-03-06 |
| 1306397831 | Evan Morehead | Specialist/Technologist | 5160 Lincoln Road, Lincoln, ND 58504 | 2016-10-19 |
| 1902262520 | Stacey S Haugen, Pllc | Counselor | 6221 University Drive, Bismarck, ND 58504 | 2016-01-12 |
| 1881060630 | Brittany N Kudrna | Nurse Practitioner | 914 S 12th St Ste 101, Bismarck, ND 58504 | 2015-08-17 |
| 1154727873 | William J Kucera | Physical Therapist | 324 Marietta Dr, Bismarck, ND 58504 | 2014-11-06 |
| Find all providers in zip 58504 | ||||
| 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 |
|---|---|---|---|---|
| 1366794604 | Melissa Ann Abrahamson | Optometrist | 1830 E Century Ave Unit 1, Bismarck, ND 58503-0639 | 2012-10-10 |
| 1972812063 | Jessica Keller | Optometrist | 4401 Coleman St Ste 102, Bismarck, ND 58503-1371 | 2010-10-06 |
| 1205968971 | Tom L Deis | Optometrist | 204 West Century Ave, Bismarck, ND 58503 | 2007-03-09 |
| 1154468767 | Marty J. Mrachek Od Ltd | Optometrist | 537 S 7th St, Bismarck, ND 58504-5859 | 2007-01-31 |
| 1104963099 | Marty Mrachek | Optometrist | 537 S. 7th St, C/o Nationwide Vision, Bismarck, ND 58504-5859 | 2007-01-31 |
| 1326102542 | Michael G. Kostelecky | Optometrist | 2331 Tyler Parkway, Suite 2, Bismarck, ND 58503 | 2006-12-21 |
| 1558470401 | Nichol K Dillavou | Optometrist | 2821 Rock Island Pl, Bismarck, ND 58504 | 2006-08-30 |
| 1609894054 | Drs Schindler & Deis PC | Optometrist | 204 W Century Ave, Bismarck, ND 58503-1494 | 2006-07-17 |
| 1669401527 | Leidenix PC | Optometrist | 2717 Rock Island Place, Suite 2, Bismarck, ND 58504-7724 | 2006-07-02 |
| 1437197191 | Brian C Beattie | Optometrist | 1929 N Washington St Ste Aa, Bismarck, ND 58501-1616 | 2006-06-03 |
| Find all providers in BISMARCK | ||||
Please comment or provide details below to improve the information on SHANON S BENCKER.
| 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.