WILLIAM L BENEDICT M.D. NPI 1063598548

NPI Information

NPI: 1063598548
Provider Name: WILLIAM L BENEDICT, M.D.
Classification: Ophthalmology - 207WX0107X
Entity Type: Individual

Specialization: Retina Specialist

PECOS Registration: Yes

Address:
1400 DRY CREEK DR
LONGMONT, CO
ZIP 80503
Phone: (303) 772-3300
Get Directions

William L Benedict, M.D. is a retina specialist ophthalmology in Longmont, CO. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. William L Benedict, M.D. NPI is 1063598548. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1400 DRY CREEK DR
LONGMONT, CO
ZIP 80503-505
Phone: (303) 772-3300
Fax: (303) 682-3380

The NPI 1063598548 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/27/2006 and was last updated on 5/10/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207W00000X	Ophthalmology		32437	COLORADO	No
2	207WX0107X	Ophthalmology	Retina Specialist	32437	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01324375	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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