JEFFERY L. DIBENEDETTO O.D.
NPI 1255360525
Optometrist in Denham Springs, LA
About Jeffery L. Dibenedetto O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFFERY L. DIBENEDETTO O.D. (NPI 1255360525) is an individual optometrist in Denham Springs, Louisiana, licensed in Louisiana (1321-456T) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2001).
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jeffery L. Dibenedetto O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Jeffery Dibenedetto reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Denham Springs, LA 70726
- Reassigned Medicare billing, Louisiana enrollment
- 28 clinicians in this Medicare group
Port Allen, LA 70767
- Reassigned Medicare billing, Louisiana enrollment
- 3 clinicians in this Medicare group
Zachary, LA 70791
- Reassigned Medicare billing, Louisiana enrollment
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 70726 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jeffery Dibenedetto's NPI number?
The NPI number for Jeffery Dibenedetto is 1255360525. It was assigned to this individual provider in the NPPES registry on June 30, 2006.
Where is Jeffery Dibenedetto located?
Jeffery Dibenedetto practices at 2290 S Range Ave, Denham Springs, LA 70726. The listed phone number is (225) 665-2019.
What is Jeffery Dibenedetto's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Jeffery Dibenedetto enrolled in Medicare?
Yes. Jeffery Dibenedetto is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jeffery Dibenedetto's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeffery Dibenedetto reassigns Medicare benefits to 3 organizations: Williamson Eye Center (Denham Springs, LA), Allemond And Jelks LLC (Port Allen, LA) and Eye Care & Cosmetic Center, LLC (Zachary, LA). Each 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 Jeffery Dibenedetto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeffery Dibenedetto accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Anthem Blue Cross and Blue Shield and 7 other insurers list Jeffery Dibenedetto 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 Jeffery Dibenedetto was last updated on January 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Jeffery L. Dibenedetto, O.D. · NPI 1255360525
Optometrist provider in Denham Springs, Louisiana. Individual provider, active in the CMS NPPES registry since June 30, 2006.
## Identity
- **NPI:** 1255360525 (Entity type: Individual)
- **Enumerated:** June 30, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 1321-456T (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 2290 S RANGE AVE, Denham Springs, LA 70726-5214
- **Phone:** (225) 665-2019 · **Fax:** (225) 665-2089
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Williamson Eye Center (NPI 1841295813, Denham Springs, LA); Allemond And Jelks LLC (NPI 1295369817, Port Allen, LA); Eye Care & Cosmetic Center, LLC (NPI 1639258726, Zachary, LA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Southern College Of Optometry, class of 2001
## Record status
- **NPPES last updated:** January 27, 2012
- **Other identifiers:** Medicaid 1105350 (LA); Medicare PIN 4B265 (LA)
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Source: [NPI Profile](https://npiprofile.com/npi/1255360525) · Data from the CMS NPPES public registry.