BENJAMIN EYE CARE ASSOCIATES — NPI 1922421627 (Licensed & Credentialed Health Maintenance Organization in LYNN HAVEN, FL)

CMS-1500 Box 24J / 33a • NPI

1922421627

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

302R00000X

Licensed & Credentialed Health Maintenance Organization

Box 32 Service Location & ZIP+4

3930 ARBOR TRACE DR, UNIT K, LYNN HAVEN, FL, 32444-6729

✓ 9-Digit EDI 837 ZIP+4 (32444-6729)

Practice Phone & Referral Fax

(267) 519-7550

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1922421627 (BENJAMIN EYE CARE ASSOCIATES) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1922421627` (NPI-2 Organization / Facility)
Provider / Legal Name	BENJAMIN EYE CARE ASSOCIATES
Plain-English Specialty	Licensed & Credentialed Health Maintenance Organization NUCC Code: `302R00000X` (Health Maintenance Organization)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	3930 ARBOR TRACE DR, UNIT K, LYNN HAVEN, FL, 32444-6729
Practice Telephone / Fax	Tel: (267) 519-7550
Administrative Mailing Address	3930 ARBOR TRACE DR, LYNN HAVEN, FL, 32444-6729
Enumeration & Last Sync	Enumerated: 2014-01-31 \| CMS Record Updated: 2015-08-10
Authorized Official	BINH THAN (Optometrist O.D.)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

3930 ARBOR TRACE DR, UNIT K, LYNN HAVEN, FL, 32444-6729

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Plain-English Taxonomy & CMS Crosswalk (302R00000X)

What Does Taxonomy Code 302R00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 302R00000X translates to:
"Licensed & Credentialed Health Maintenance Organization"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Health Maintenance Organization for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BENJAMIN EYE CARE ASSOCIATES)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`302R00000X` — Health Maintenance Organization Plain English: Licensed & Credentialed Health Maintenance Organization	State: PA \| License: `OEG002887` \| Primary: Secondary
`302R00000X` — Health Maintenance Organization Plain English: Licensed & Credentialed Health Maintenance Organization	State: FL \| License: `OPC5017` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BENJAMIN EYE CARE ASSOCIATES (NPI #1922421627)