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BEN B DONALD II OD
NPI 1407942741
Optometrist in Carthage, TX

Active since October 05, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 45D2237163 · Waiver
403 N ADAMS ST, CARTHAGE, TX 75633(903) 694-2300(903) 694-2333 Get Directions Write a Review

NPPES record last updated: February 19, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ben B Donald Ii Od NPPES

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

BEN B DONALD II OD (NPI 1407942741) is an individual optometrist in Carthage, Texas, licensed in Texas (4453TG) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through September 22, 2027, and is a graduate of Illinois College Of Optometry At Chicago (1991).

NPPES Registry Identity

NPI1407942741
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameBEN B DONALD IICredential: OD
Location Address403 N ADAMS STCarthage, TX 75633-1311
Mailing Address403 N Adams StCarthage, TX 75633 · (903) 694-2300 · Fax (903) 694-2333
Phone(903) 694-2300
Fax(903) 694-2333
Sole ProprietorYes
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1991
Enumeration DateOctober 5, 2006
Last NPPES UpdateFebruary 19, 2008
✔ NPI 1407942741 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 TX · 4453TG
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.
403 N ADAMS ST, Carthage, TX 75633
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Other Identifiers 6

Medicare UPINU24160
Other924329Block Vision
Medicaid019346801TX
Other0540180001Cigna Government Services
Other14867Spectera Pin
Medicare PIN00E42PTX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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

Ben B Donald Ii Od 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 ID4082722558
PECOS Enrollment IDI20161027000914
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2237163

Ben B Donald, II, Od · Carthage, TX
Active · expires Sep 22, 2027
CLIA Number45D2237163
Laboratory TypePhysician Office
Certificate Effective DateSeptember 23, 2025
Certificate Expiration DateSeptember 22, 2027
Laboratory DirectorBen B. Donald
Laboratory Phone(903) 694-2300
Laboratory LocationBen B Donald, II, Od403 N Adams St, Carthage, TX 75633
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

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.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
145 services135 patients
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.
136 services134 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
90 services61 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
39 services21 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.
35 services35 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75633 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN GIROUX DONALD OD
Optometrist
403 N ADAMS ST
CARTHAGE, TX 75633
Panola County (903) 694-2300

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 Ben Donald's NPI number?

The NPI number for Ben Donald is 1407942741. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Ben Donald located?

Ben Donald practices at 403 N Adams St, Carthage, TX 75633. The listed phone number is (903) 694-2300.

What is Ben Donald's specialty?

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

Is Ben Donald enrolled in Medicare?

Yes. Ben Donald 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.

Does Ben Donald hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2237163) is associated with this NPI, valid through September 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ben Donald accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BlueCross BlueShield of Tennessee and Providence Health Plan list Ben Donald 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 Ben Donald was last updated on February 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.