BENNETT OPTOMETRY
NPI 1013904028
Optometrist in Ann Arbor, MI

Active since October 04, 2005
2623 PLYMOUTH RD, ANN ARBOR, MI 48105(636) 200-4393(734) 930-2390 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 15, 2024, Sep 13, 2019, Jun 21, 2019 and 1 more (4 updates tracked since 2019).

About Bennett Optometry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BENNETT OPTOMETRY (NPI 1013904028) is a healthcare organization registered as an optometrist in Ann Arbor, Michigan and active in the NPI registry since October 2005. The organization lists James J. Wachter, President/owner, as its authorized official.

NPPES Registry Identity

NPI1013904028
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameBENNETT OPTOMETRY LLC
Location Address2623 PLYMOUTH RDAnn Arbor, MI 48105-2468
Mailing Address117 S Main St Ste 200Ann Arbor, MI 48104-1902 · (734) 930-2373 · Fax (734) 930-2390
Fax(734) 930-2390
Organization SubpartNo
Authorized OfficialJames J. WachterPresident/owner · (636) 200-4393
Enumeration DateOctober 4, 2005
Last NPPES UpdateMay 15, 20244 updates tracked since enumeration
NPPES CertifiedMay 15, 2024
✔ NPI 1013904028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MI · BME-0160973
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X
Also ListedOptometrist · Low Vision RehabilitationTaxonomy 152WL0500X
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X
Also ListedOptometrist · Sports VisionTaxonomy 152WS0006X
Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X
Also ListedOptometrist · Occupational VisionTaxonomy 152WX0102X
2623 PLYMOUTH RD, Ann Arbor, MI 48105

Other Names 1

Doing Business AsBennett Optometry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bennett Optometry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

24

Medicare enrollment records show 24 clinicians reassign Medicare billing to Bennett Optometry, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. Listed here are the 20 practicing nearest to this location.

Nearest to this location (20)

See all 24
Optometry
NPI 1861165870
2623 PLYMOUTH RD
Ann Arbor, MI 48105
(734) 930-2373
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1023530680
117 S MAIN ST
Ann Arbor, MI 48104
(734) 665-5306
✔ PECOS✔ Accepts Medicare2.5 mi
Optometry
NPI 1891100392
117 S MAIN ST
Ann Arbor, MI 48104
(734) 665-5306
✔ PECOS✔ Accepts Medicare2.6 mi
Optometry
NPI 1780303313
555 E MICHIGAN AVE
Saline, MI 48176
(734) 429-4885
✔ PECOS✔ Accepts Medicare11 mi
Optometry
NPI 1801440854
557 E MICHIGAN AVE
Saline, MI 48176
(734) 429-4885
✔ PECOS✔ Accepts Medicare11 mi
Optometry
NPI 1285623207
317 N LAFAYETTE ST
South Lyon, MI 48178
(248) 446-1146
✔ PECOS✔ Accepts Medicare11 mi
Optometry
NPI 1295707222
23342 FARMINGTON RD
Farmington, MI 48336
(248) 477-1616
✔ PECOS✔ Accepts Medicare20 mi
Optometry
NPI 1003806910
26388 FORD RD
Dearborn Heights, MI 48127
(313) 730-5020
✔ PECOS✔ Accepts Medicare21 mi
Optometry
NPI 1538970629
26388 FORD RD
Dearborn Heights, MI 48127
(313) 730-5020
✔ PECOS✔ Accepts Medicare21 mi
Optometry
NPI 1083195374
138 W CHICAGO BLVD
Tecumseh, MI 49286
(517) 423-2148
✔ PECOS✔ Accepts Medicare24 mi
Optometry
NPI 1770887960
23055 OUTER DR
Allen Park, MI 48101
(313) 359-9075
✔ PECOS✔ Accepts Medicare25 mi
Optometry
NPI 1578346334
4646 JOHN R ST
Detroit, MI 48201
(313) 576-1000
✔ PECOS✔ Accepts Medicare38 mi
Optometry
NPI 1104129626
2333 JOLLY RD
Okemos, MI 48864
(517) 381-2000
✔ PECOS45 mi
Optometry
NPI 1306152582
5700 MARSH RD
Haslett, MI 48840
(517) 339-4100
✔ PECOS✔ Accepts Medicare47 mi
Optometry
NPI 1700203825
310 W LAKE LANSING RD
East Lansing, MI 48823
(517) 337-8182
✔ PECOS✔ Accepts Medicare51 mi
Optometry
NPI 1548242480
2117 E GRAND RIV
Lansing, MI 48912
(517) 485-2213
✔ PECOS51 mi
Optometry
NPI 1902895295
2117 E GRAND RIVER AVE
Lansing, MI 48912
(517) 485-2213
✔ PECOS✔ Accepts Medicare51 mi
Optometry
NPI 1013063114
2117 E GRAND RIVER AVE
Lansing, MI 48912
(517) 485-2213
✔ PECOS✔ Accepts Medicare51 mi
Optometry
NPI 1336325414
5403 W SAGINAW HWY
Lansing, MI 48917
(517) 886-0222
✔ PECOS✔ Accepts Medicare56 mi
Optometry
NPI 1386884013
409 N MARKETPLACE BLVD
Lansing, MI 48917
(517) 622-5311
✔ PECOS✔ Accepts Medicare58 mi
See all 24 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bennett Optometry LLC's NPI number?

The NPI number for Bennett Optometry LLC is 1013904028. It was assigned to this organization in the NPPES registry on October 4, 2005. The provider is doing business as Bennett Optometry.

Where is Bennett Optometry LLC located?

Bennett Optometry LLC is located at 2623 Plymouth Rd, Ann Arbor, MI 48105. The listed phone number is (636) 200-4393.

What is Bennett Optometry LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Bennett Optometry LLC enrolled in Medicare?

Yes. Bennett Optometry LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bennett Optometry LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians, all in Optometry, reassign their Medicare billing to Bennett Optometry LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Bennett Optometry LLC accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Louisiana and Oscar Insurance Company list Bennett Optometry LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bennett Optometry LLC was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.