OPHTHALMOLOGY ASSOCIATES OF BENTON, PLLC
NPI 1699774794
Specialist in Benton, AR
About Ophthalmology Associates Of Benton, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OPHTHALMOLOGY ASSOCIATES OF BENTON, PLLC (NPI 1699774794) is a healthcare organization registered as a specialist in Benton, Arkansas and active in the NPI registry since July 2005. The organization lists Linda Detherage, Insurance & Credentialing, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ophthalmology Associates Of Benton, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Ophthalmology Associates Of Benton, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Ophthalmology Associates Of Benton, PLLC's NPI number?
The NPI number for Ophthalmology Associates Of Benton, PLLC is 1699774794. It was assigned to this organization in the NPPES registry on July 20, 2005.
Where is Ophthalmology Associates Of Benton, PLLC located?
Ophthalmology Associates Of Benton, PLLC is located at 3 Medical Park Dr Suite 300, Benton, AR 72015. The listed phone number is (501) 778-1113.
What is Ophthalmology Associates Of Benton, PLLC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Ophthalmology Associates Of Benton, PLLC enrolled in Medicare?
Yes. Ophthalmology Associates Of Benton, PLLC is registered in the Medicare PECOS enrollment system.
When is Ophthalmology Associates Of Benton, PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arkansas, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Ophthalmology Associates Of Benton, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Ophthalmology, reassign their Medicare billing to Ophthalmology Associates Of Benton, PLLC. 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Ophthalmology Associates Of Benton, PLLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Ophthalmology Associates Of Benton, PLLC 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 Ophthalmology Associates Of Benton, PLLC was last updated on September 30, 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.
# Ophthalmology Associates Of Benton, Pllc · NPI 1699774794
Specialist organization in Benton, Arkansas. Organization record, active in the CMS NPPES registry since July 20, 2005.
## Identity
- **NPI:** 1699774794 (Entity type: Organization)
- **Enumerated:** July 20, 2005
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Linda Detherage, INSURANCE & CREDENTIALING
## Practice location
- **Address:** 3 MEDICAL PARK DR, SUITE 300, Benton, AR 72015-3728
- **Phone:** (501) 778-1113 · **Fax:** (501) 778-5391
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Arkansas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Ophthalmology) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 30, 2013
- **Other identifiers:** Other 5B790 (AR); Medicaid 140820002 (AR); Medicare NSC 4167140001 (AR); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1699774794) · Data from the CMS NPPES public registry.