DR. LEROY BENTHAM (NPI# 1992949226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992949226 |
| Entity Type | Individual |
| Full Name | DR. LEROY BENTHAM |
| Credential | O.D |
| Practice Address |
347 -3 49 Whalley Ave Prestige Vision & Eye Care New Haven CT 06511-3140 |
| Mailing Address |
1200 E 53rd St # 7a Brooklyn NY 11234-2357 |
| Practice Telephone | 2035623202 |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2020-04-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 27TO00095500 | NJ | Eye and Vision Services Providers |
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
27OA00501900 | NJ | Eye and Vision Services Providers |
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
27TO00095500 | NJ | Eye and Vision Services Providers |
| N | 152WX0102X |
Optometrist Specialization: Occupational Vision |
27TO00095500 | NJ | Eye and Vision Services Providers |
| Street Address |
347 -3 49 WHALLEY AVE PRESTIGE VISION & EYE CARE |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-3140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330571 | Allison Elizabeth Pratt | Occupational Therapist | 625 Whitney Ave, Apt 5, New Haeven, CT 06511 | 2020-09-11 |
| 1881213346 | Sarah Bleicher | Registered Nurse | Yale Health, 55 Lock St, New Haven, CT 06511 | 2020-04-14 |
| 1083268395 | Danielle Lee Mcpherson | Pharmacist | Yale New Haven Hospital 55 Park Street, New Haven, CT 06511 | 2019-07-25 |
| 1528533866 | Alexia Levin | Social Worker | 98/100 York St, New Haven, CT 06511 | 2018-10-12 |
| 1861970097 | Orthocare Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 1450 Chapel St Ste Sg15, New Haven, CT 06511 | 2018-07-31 |
| 1609352418 | Susannah Frew | Social Worker | 2 Eld Street, Apt 6, New Haven, CT 06511 | 2018-07-15 |
| 1851881965 | Empowerment Counseling Services, LLC | Counselor | 427 Dixwell Ave, New Haven, CT 06511 | 2018-05-14 |
| 1487173951 | Karine Giasson-gariepy | Student in an Organized Health Care Education/Training Program | Yale University Department of Psychiatry, 300 George Street, Suite 901, New Haven, Ct 06511, New Haven, CT 06511 | 2017-09-15 |
| 1568980696 | Anna Reutenauer | Dentist | 123 York St Ste 4l, New Haven, CT 06511 | 2017-09-08 |
| 1083134753 | Darin Dolezal | Student in an Organized Health Care Education/Training Program | 200 South Frontage Road, Ep2 2nd Floor - 612, Dept of Pathology, New Haven, CT 06511 | 2017-06-23 |
| Find all providers in zip 06511 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083186746 | David W. Joel LLC | Optometrist | 130 Amity Rd, Family Eye Care Center, New Haven, CT 06515-1405 | 2018-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417265372 | Sheri M. Sparks | Optometrist | 4 Northwestern Dr Ste 400, Bloomfield, CT 06002-3444 | 2010-09-14 |
| 1386830719 | Dr. Michele Levy P.C. | Optometrist | 2 Lafayette Ct Ste 2, Greenwich, CT 06830-5354 | 2007-09-19 |
| 1851512917 | Northern Connecticut Eye Associates, PC | Optometrist | 146 Hazard Ave Suite 106, Enfield, CT 06082 | 2007-05-02 |
| 1831223585 | Frank Poe | Optometrist | 177 Sound Beach Ave, Old Greenwich, CT 06870-1740 | 2007-03-15 |
| 1346279007 | Greenwich Eye Center | Optometrist | 41 W Putnam Ave, Greenwich, CT 06830-5300 | 2006-07-02 |
| 1861488173 | Paul H Foeller | Optometrist | 109 Main St, Canaan, CT 06018-2463 | 2005-09-22 |
| 1265427983 | Steven Richard Squillace | Optometrist | 48 South Rd Unit 8, Somers, CT 06071-2160 | 2005-09-19 |
| 1770584781 | Peter Rosenwald | Optometrist | 100 Hawley Ln, Suite 16, Trumbull, CT 06611-5330 | 2005-08-02 |
| 1578568770 | Robert John Kish | Optometrist | 748 Long Hill Rd, Groton, CT 06340-4273 | 2005-06-15 |
| 1730788688 | Norwalk Vision Center LLC | Optometrist | 148 East Ave Ste 3c, Norwalk, CT 06851-5736 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
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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.