Dr Jorge A Benavente, OPTOMETRIST PC | |
9175 Calumet Ave, Munster, IN 46321-2805 | |
(219) 836-7800 | |
(219) 836-4806 |
Full Name | Dr Jorge A Benavente |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 47 Years |
Location | 9175 Calumet Ave, Munster, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952409583 | NPI | - | NPPES |
100157520A | Medicaid | IN | |
351517961 | Other | IN | TAX ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 046-0006940 (Illinois) | Secondary |
152W00000X | Optometrist | 18001807B (Indiana) | Primary |
Provider Name | Dr Jorge A Benavente Optometrist Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1063740744 PECOS PAC ID: 2860533742 Enrollment ID: O20100114000391 |
Mailing Address | Practice Location Address |
---|---|
Dr Jorge A Benavente, OPTOMETRIST PC 9175 Calumet Ave, Munster, IN 46321-2805 Ph: (219) 836-7800 | Dr Jorge A Benavente, OPTOMETRIST PC 9175 Calumet Ave, Munster, IN 46321-2805 Ph: (219) 836-7800 |
South Shore Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 10413 Calumet Ave., Munster, IN 46321 Phone: 219-902-4176 | |
Dr. Jorge A. Benavente Optometrist Pc Optometrist Medicare: Medicare Enrolled Practice Location: 9175 Calumet Avenue, Munster, IN 46321 Phone: 219-836-7800 Fax: 219-836-4806 | |
Dr. Susan Gailmard, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 630 Ridge Rd, Munster, IN 46321 Phone: 219-836-1738 Fax: 219-836-2822 | |
Dr. Neil Bennett Gailmard, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 630 Ridge Rd, Munster, IN 46321 Phone: 219-836-1738 Fax: 219-836-2822 | |
Dr. Amanda Sprehe, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 630 Ridge Rd, Munster, IN 46321 Phone: 219-836-1738 | |
Dr. Bradley Anderson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7905 Calumet Ave, Munster, IN 46321 Phone: 219-836-7214 | |
Richard J Peach Od Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 800 Macarthur Blvd, Suite 10, Munster, IN 46321 Phone: 219-836-5326 Fax: 219-836-5326 |