DR. BENJAMIN JOHNSON CRIDER (O.D.) – Optometrist, NPI 1215375480

DR. BENJAMIN JOHNSON CRIDER (O.D.) is a healthcare provider. based in Indianapolis, Indiana. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPT003372 (GA). The NPI Number for DR. BENJAMIN JOHNSON CRIDER (O.D.) is 1215375480

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. BENJAMIN JOHNSON CRIDER (O.D.)
NPI
1215375480
Phone
(317) 254-6480
Address
9795 CROSSPOINT BLVD
Enumeration Date
11 June 2013
Last Update Date
27 September 2021

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
8435214037
Graduation Year
2013 (13 years ago)
PAC ID
9133362361
Group Practice PAC ID
3173741618
Professional Enrollment ID
I20220824002483
Address ID
SC299065203BE204XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,126 OPTOMETRY in IN

Provider Addresses for DR. BENJAMIN JOHNSON CRIDER (O.D.)

  • 9795 CROSSPOINT BLVD

    SUITE 100

    INDIANAPOLIS, IN 462563354

    Phone: (317) 254-6480

    Fax: (317) 259-8609

    Type: Mailing

  • 101 W KIRKWOOD AVE

    SUITE 120

    BLOOMINGTON, IN 474046129

    Phone: (812) 331-9082

    Fax: (812) 331-1301

    Type: Location

  • 105 GRAND CENTRAL BLVD STE 110

    POOLER, GA 313224148

    Phone: (912) 450-9200

    Fax: (912) 450-9201

    Type: Location

  • 1950 OLD GALLOWS RD STE 520

    VIENNA, VA 221823970

    Phone: (703) 847-8899

    Fax: (571) 223-6780

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $128.

Total Amount is formed as General ($128) + Research ($0) + Ownership ($0) = $128.

Last reported payment date: 2024-06-26 • Largest payer in this snapshot: CooperVision Inc. ($63).

Total Amount

$128

General + Research + Ownership

Payments

6

Total payment records

General Amount

$128

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-26

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: 2022-08-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20130906000687IOptometryINTBD
I20211006001104IOptometryGATBD
I20220824002483IOptometrySCTBD

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 46256)

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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: 3173741618View full group profile
NameSpecialtyState
O P T O M E T R YVA
O P T O M E T R YPA
O P T O M E T R YPA
O P T O M E T R YSC
O P T O M E T R YSC
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YSC
O P T O M E T R YSC

Reviews

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Frequently asked questions

Does DR. BENJAMIN JOHNSON CRIDER (O.D.) have a public NPI I can cite?
Public records show DR. BENJAMIN JOHNSON CRIDER (O.D.) under NPI 1215375480.
Should I treat DR. BENJAMIN JOHNSON CRIDER (O.D.) as an active provider?
Patients and plans typically see DR. BENJAMIN JOHNSON CRIDER (O.D.) as active in the national extract.
What type of care does DR. BENJAMIN JOHNSON CRIDER (O.D.) provide?
DR. BENJAMIN JOHNSON CRIDER (O.D.)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. BENJAMIN JOHNSON CRIDER (O.D.) tied to Indianapolis, Indiana?
If you are local to Indianapolis, Indiana, DR. BENJAMIN JOHNSON CRIDER (O.D.) may be relevant to your search.
Can I export DR. BENJAMIN JOHNSON CRIDER (O.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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