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DR. ANGELO CARMELO BENVENUTO JR. O.D.
NPI 1336589464
Optometrist in Grand Rapids, MI

Active since July 03, 2013PECOS Enrolled
3579 ALPINE AVE NW, GRAND RAPIDS, MI 49544(616) 432-3591 Get Directions Write a Review

NPPES record last updated: October 11, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Angelo Carmelo Benvenuto Jr. O.d. NPPES

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

DR. ANGELO CARMELO BENVENUTO JR. O.D. (NPI 1336589464) is an individual optometrist in Grand Rapids, Michigan, licensed in Michigan (4901004785) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336589464
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ANGELO CARMELO BENVENUTO JR.Credential: O.D.
Location Address3579 ALPINE AVE NWGrand Rapids, MI 49544-1635
Mailing Address3579 Alpine Ave NwGrand Rapids, MI 49544-1635 · (616) 432-3591
Phone(616) 432-3591
Sole ProprietorYes
Enumeration DateJuly 3, 2013
Last NPPES UpdateOctober 11, 2013
✔ NPI 1336589464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MI · 4901004785
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.
3579 ALPINE AVE NW, Grand Rapids, MI 49544
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Angelo Carmelo Benvenuto Jr. O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Angelo Benvenuto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Svs Vision Inc
0.6 mi
Optometrist
3150 ALPINE AVE NW, STE. F
Walker, MI 49544
  • Reassigned Medicare billing, Michigan enrollment
  • 113 clinicians in this Medicare group
NPI 1487789350 (616) 363-9831

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49544 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

EYEMART EXPRESS
Eyewear Supplier
3579 ALPINE AVE NW, SUITE 15
GRAND RAPIDS, MI 49544
Kent County (616) 647-4325
CHRISTINA REXFORD OD
Optometrist
3579 ALPINE AVE NW
GRAND RAPIDS, MI 49544
Kent County (616) 432-3591

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 Angelo Benvenuto's NPI number?

The NPI number for Angelo Benvenuto is 1336589464. It was assigned to this individual provider in the NPPES registry on July 3, 2013.

Where is Angelo Benvenuto located?

Angelo Benvenuto practices at 3579 Alpine Ave NW, Grand Rapids, MI 49544. The listed phone number is (616) 432-3591.

What is Angelo Benvenuto's specialty?

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

Is Angelo Benvenuto enrolled in Medicare?

Yes. Angelo Benvenuto is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Angelo Benvenuto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angelo Benvenuto reassigns Medicare benefits to Svs Vision Inc (Walker, MI). The 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 Angelo Benvenuto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Angelo Benvenuto accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Care Network of Michigan and 15 other insurers list Angelo Benvenuto 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 Angelo Benvenuto was last updated on October 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.