OPHTHALMOLOGY ASSOCIATES OF BENTON, PLLC
NPI 1699774794
Specialist in Benton, AR

NPI Status: Active since July 20, 2005

Contact Information

3 MEDICAL PARK DR
SUITE 300
BENTON, AR
ZIP 72015
Phone: (501) 778-1113
Fax: (501) 778-5391

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  • Organization
  • Specialist
  • Accepts Insurance

About OPHTHALMOLOGY ASSOCIATES OF BENTON, PLLC

This page provides the complete NPI Profile along with additional information for Ophthalmology Associates Of Benton, Pllc, a provider established in Benton, Arkansas operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1699774794 assigned on July 2005. The practitioner's primary taxonomy code is 174400000X with license number C7930 (AR). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mrs. Linda Detherage (Insurance & Credentialing)

NPI
1699774794
Provider Name
OPHTHALMOLOGY ASSOCIATES OF BENTON, PLLC
Entity Type
Organization
Location Address
3 MEDICAL PARK DR SUITE 300 BENTON, AR 72015
Location Phone
(501) 778-1113
Location Fax
(501) 778-5391
Mailing Address
3 MEDICAL PARK DR SUITE 300 BENTON, AR 72015
Mailing Phone
(501) 778-1113
Mailing Fax
(501) 778-5391
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-20-2005
Last Update Date
09-30-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
C7930
License State
AR
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1174400000XOther Service Providers

Specialist

E-2274 (AR)
2174400000XOther Service Providers

Specialist

C7476 (AR)

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Complete Silver (QualChoice) - POS
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold (QualChoice) - POS
  • Elite Gold (QualChoiceLife) - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Everyday Gold - PPO
  • Everyday Gold + Vision + Adult Dental - PPO
  • Everyday Silver (QualChoiceLife) - PPO
  • Focused Silver - PPO
  • Focused Silver + Vision + Adult Dental - PPO
  • Standard Expanded Bronze - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Premier Silver - EPO
  • Premier Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Everyday Gold - PPO
  • Everyday Gold + Vision + Adult Dental - PPO
  • Focused Silver - PPO
  • Focused Silver + Vision + Adult Dental - PPO
  • Standard Expanded Bronze - PPO
  • Standard Expanded Bronze + Vision + Adult Dental - PPO
  • Standard Gold - PPO
  • Standard Gold + Vision + Adult Dental - PPO
  • Standard Silver - PPO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO
  • BlueCross B07S HSA - EPO
  • BlueCross B15S $0 virtual care from Teladoc Health � - EPO
  • BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. LINDA DETHERAGE

Authorized Official Title
INSURANCE & CREDENTIALING
Authorized Official Phone
(501) 778-1113

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
5B790OTHER (01)ARBLUE CROSS BLUE SHIELD
140820002MEDICAID (05)AR 
4167140001MEDICARE NSC (07)AR 
5B790MEDICARE PIN (08)AR 
CI3712OTHER (01)ARRAILROAD MEDICARE

Reviews for OPHTHALMOLOGY ASSOCIATES OF BENTON, PLLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1699774794
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261891478718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 8 + 9 + 1 + 4 + 7 + 8 + 7 + 1 + 8 + 24 = 86
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
90 - 86 = 44

The NPI number 1699774794 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1649221730SALINE OPTICAL, INC.
Organization
Eyewear Supplier3 MEDICAL PARK DR SUITE300
BENTON, AR 72015
(501) 778-1113
1013098334DR. SAMUEL D TAGGART MD
Individual
Family Medicine3 MEDICAL PARK DR SUITE 100
BENTON, AR 72015
(501) 778-0934
1437284189DR. JAMES B COOPER M.D.
Individual
Family Medicine3 MEDICAL PARK DR SUITE 100
BENTON, AR 72015
(501) 778-0934
1548398498DR. KIRK D WATSON M.D.
Individual
Family Medicine3 MEDICAL PARK DR SUITE100
BENTON, AR 72015
(501) 778-0934
1043340011DR. MARK E ALBEY M.D.
Individual
Family Medicine3 MEDICAL PARK DR SUITE 100
BENTON, AR 72015
(501) 778-0934
1871627737JERRY W. DIXON, M.D., P.A.
Organization
Surgery3 MEDICAL PARK DR SUITE 201
BENTON, AR 72015
(501) 778-3361
1194027987SALINE MEMORIAL HOSPITAL TECHNICAL SERVICES LLC
Organization
Clinic/Center (Sleep Disorder Diagnostic)3 MEDICAL PARK DR SUITE 301
BENTON, AR 72015
(501) 315-8818
1457325417DR. ANNETTE M ENDERLIN M.D.
Individual
Ophthalmology3 MEDICAL PARK DR SUITE 300
BENTON, AR 72015
(501) 778-1113
1992779722DR. ALAN W HUGHES M.D.
Individual
Ophthalmology3 MEDICAL PARK DR SUITE 300
BENTON, AR 72015
(501) 778-1113
1730142530DR. PHILLIP J SUFFRIDGE M.D.
Individual
Ophthalmology3 MEDICAL PARK DR SUITE 300
BENTON, AR 72015
(501) 778-1113
1073765657 ROSE JEAN FETTING LCSW
Individual
Social Worker (Clinical)3 MEDICAL PARK DR SUITE 302 B
BENTON, AR 72015
(501) 776-8447
1497812903SURGICAL ASSOCIATES OF BENTON
Organization
Specialist3 MEDICAL PARK DR
BENTON, AR 72015
(501) 778-3361
1376684258PHILLIP SUFFRIDGE,M.D.,P.A.
Organization
Ophthalmology3 MEDICAL PARK DR SUITE 300
BENTON, AR 72015
(501) 778-1113

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699774794, enumerated in the NPI registry as an "organization" on July 20, 2005

The provider is located at 3 Medical Park Dr Suite 300 Benton, Ar 72015 and the phone number is (501) 778-1113

This medical organization specializes in Specialist with taxonomy code 174400000X

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 20, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.