KRISTIN L BENDER (O.D) – Optometrist, NPI 1205861846
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
959 OPTOMETRY in GA
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Provider Addresses for KRISTIN L BENDER (O.D)
2880 OLD ALABAMA RD STE 300
JOHNS CREEK, GA 300225033
Phone: (770) 740-2000
Fax: (678) 387-3904
Type: Mailing
Publix, 9925, Haynes Bridge Road, Bellingrath Commons, Newtown, Alpharetta, Fulton County, Georgia, 30022, United States
SUITE 710A
JOHNS CREEK, GA 300228532
Phone: (770) 740-2000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $77.
Total Amount is formed as General ($77) + Research ($0) + Ownership ($0) = $77.
Last reported payment date: 2024-03-27 • Largest payer in this snapshot: CooperVision Inc. ($43).
Total Amount
$77
General + Research + Ownership
Payments
4
Total payment records
General Amount
$77
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $43 |
| Bausch & Lomb Americas Inc. | $35 |
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: 2010-12-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101221000544 | I | Optometry | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 129 | 71 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 18 | 16 | $0 |
| 92083 | Exam of visual field with extended testing | 17 | 16 | $0 |
Insurance plans in this area (ZIP 30022)
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