DR. BENNETT DAVID MCALLISTER (O.D.) – Optometrist, NPI 1124057351

DR. BENNETT DAVID MCALLISTER (O.D.) is a healthcare provider. based in Pomona, California. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 7275T (CA). The NPI Number for DR. BENNETT DAVID MCALLISTER (O.D.) is 1124057351

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
DR. BENNETT DAVID MCALLISTER (O.D.)
NPI
1124057351
Phone
(909) 469-8773
Address
795 E 2ND ST
Enumeration Date
1 July 2006
Last Update Date
25 October 2016

Doctor Profile

Medical School Name
UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Secondary Phone
-
Graduation Year
1981 (45 years ago)
PAC ID
6709968233
Group Practice PAC ID
0648208991
Professional Enrollment ID
I20080123000515
Address ID
CA917662007Po795XXSTXX405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

3,909 OPTOMETRY in CA

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Provider Addresses for DR. BENNETT DAVID MCALLISTER (O.D.)

  • 795, East 2nd Street, Pomona, Los Angeles County, California, 91766, United States

    SUITE 2

    POMONA, CA 917662007

    Phone: (909) 469-8773

    Fax: (909) 469-5228

    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 3 Open Payments records for all available years, with a total value of $76.

Total Amount is formed as General ($76) + Research ($0) + Ownership ($0) = $76.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Alcon Vision LLC ($30).

Total Amount

$76

General + Research + Ownership

Payments

3

Total payment records

General Amount

$76

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

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: 2008-01-23

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
I20080123000515IOptometryCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91766)

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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: 0648208991View full group profile
NameSpecialtyState
O P T O M E T R YCA
Family PracticeCA
-CA
-CA
O P T O M E T R YCA
O P T O M E T R YCA
Psychiatry, Geriatric Psychiatry, NeuropsychiatryCA
Osteopathic Manipulative MedicineCA
P O D I A T R YCA
Family PracticeCA

Reviews

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Frequently asked questions

What NPI should I save for DR. BENNETT DAVID MCALLISTER (O.D.)?
Save NPI 1124057351 if you need a stable reference for DR. BENNETT DAVID MCALLISTER (O.D.).
Is DR. BENNETT DAVID MCALLISTER (O.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. BENNETT DAVID MCALLISTER (O.D.)'s specialty in plain language?
Clinically, the directory lists DR. BENNETT DAVID MCALLISTER (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Where is DR. BENNETT DAVID MCALLISTER (O.D.)'s primary listing?
We display Pomona, California because that is what the record indicates for DR. BENNETT DAVID MCALLISTER (O.D.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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