Ophthalmology Associates of Benton, PLLC
NPI 1699774794ActiveOrganization· Specialist· Benton, AR
Specialist in Benton, Arkansas, registered in NPPES in July 2005. The authorized official on file is Linda Detherage, Insurance & Credentialing. Enrolled in Medicare as dme supplier - physician - ophthalmology and part b supplier - clinic/group practice.
Overview
| NPI | 1699774794 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 20, 2005 |
| Last updated in NPPES | Sep 30, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | C7930 | AR |
| Specialist | 174400000X | C7476 | AR |
| Specialist | 174400000X | E-2274 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Ophthalmology (AR); Part B Supplier - Clinic/Group Practice (AR) |
|---|
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