JEFFERY L. DIBENEDETTO O.D.
NPI 1255360525
Optometrist in Denham Springs, LA

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
2290 S RANGE AVE, DENHAM SPRINGS, LA 70726(225) 665-2019(225) 665-2089 Get Directions Write a Review

NPPES record last updated: January 27, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1255360525
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJEFFERY L. DIBENEDETTOCredential: O.D.
Location Address2290 S RANGE AVEDenham Springs, LA 70726-5214
Mailing Address2290 S Range AveDenham Springs, LA 70726-5214 · (225) 665-2019 · Fax (225) 665-2089
Fax(225) 665-2089
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2001
Enumeration DateJune 30, 2006
Last NPPES UpdateJanuary 27, 2012
NPI 1255360525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in LA · 1321-456T
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 · License 1321-456T (LA)
Also ListedOptometrist · Sports VisionTaxonomy 152WS0006X · License 1321-456T (LA)
2290 S RANGE AVE, Denham Springs, LA 70726

Other Identifiers 2

Medicaid1105350LA
Medicare PIN4B265LA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID547366098
PECOS Enrollment IDI20070501000101
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
173 services159 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
77 services57 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
25 services25 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
23 services21 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
23 services23 patients

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.

New Patient
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Eyewear Supplier
2290 S RANGE AVE
DENHAM SPRINGS, LA 70726
Ophthalmology
2290 S RANGE AVE
DENHAM SPRINGS, LA 70726

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.

What insurance does Jeffery Dibenedetto accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross Blue Shield of Wyoming and 6 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 with the weekly NPPES data releases published by CMS.