DR. LORI JOHNSON BENDE (O.D.) – Optometrist, NPI 1003944968

DR. LORI JOHNSON BENDE (O.D.) is a healthcare provider. based in San diego, California. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 10611T (CA). The NPI Number for DR. LORI JOHNSON BENDE (O.D.) is 1003944968

Main info

Female
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. LORI JOHNSON BENDE (O.D.)
NPI
1003944968
Phone
(858) 453-0444
Address
4009 GOVERNOR DR
Enumeration Date
1 March 2007
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
8584556800
Graduation Year
1995 (31 years ago)
PAC ID
4587621818
Group Practice PAC ID
1557655230
Professional Enrollment ID
I20041218000136
Address ID
CA920371481LA4130XDRXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,909 OPTOMETRY in CA

Provider Addresses for DR. LORI JOHNSON BENDE (O.D.)

  • 4009 GOVERNOR DR

    SAN DIEGO, CA 921222522

    Phone: (858) 453-0444

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $151.

Total Amount is formed as General ($151) + Research ($0) + Ownership ($0) = $151.

Last reported payment date: 2023-11-06 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($151).

Total Amount

$151

General + Research + Ownership

Payments

2

Total payment records

General Amount

$151

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-12-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041218000136IOptometryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92250Photography of the retina1616$0
View full utilization report →

Insurance plans in this area (ZIP 92122)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557655230View full group profile
NameSpecialtyState
O P T O M E T R YHI
O P T O M E T R YCA
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YWA
O P H T H A L M O L O G YCA
-AE
O P H T H A L M O L O G YCA
O P T O M E T R YCA

Reviews

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Frequently asked questions

Is there an official ID for DR. LORI JOHNSON BENDE (O.D.) in U.S. healthcare records?
The official identifier for DR. LORI JOHNSON BENDE (O.D.) is NPI 1003944968.
Is DR. LORI JOHNSON BENDE (O.D.) shown as active in public data?
Registry records indicate DR. LORI JOHNSON BENDE (O.D.) maintains an active NPI.
What kind of doctor is DR. LORI JOHNSON BENDE (O.D.)?
DR. LORI JOHNSON BENDE (O.D.) is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. LORI JOHNSON BENDE (O.D.)?
Travel planning: use San Diego, California as the reference point for DR. LORI JOHNSON BENDE (O.D.), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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