BENJAMIN G ROACH (OD) – Optometrist, NPI 1124541719

BENJAMIN G ROACH (OD) is a healthcare provider. based in Bellaire, Texas. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 9164T (TX). The NPI Number for BENJAMIN G ROACH (OD) is 1124541719

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
BENJAMIN G ROACH (OD)
NPI
1124541719
Phone
(713) 797-1010
Address
6565 WEST LOOP S STE 650
Enumeration Date
25 July 2017
Last Update Date
2 June 2022

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
9798301444
Graduation Year
2017 (9 years ago)
PAC ID
7911279476
Group Practice PAC ID
4082602156
Professional Enrollment ID
I20170817002010
Address ID
TX778335406BR605XXCTXX303

Contacts

Secure Messaging
broach@direct.berkeleyeye.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:8State licenses:2Other namesUpdated within 12 months

3,129 OPTOMETRY in TX

Provider Addresses for BENJAMIN G ROACH (OD)

  • West Loop South, Bellaire, Harris County, Texas, 77027, United States

    BELLAIRE, TX 774013505

    Phone: (713) 797-1010

    Type: Mailing

  • 17450 ST LUKES WAY STE 100

    THE WOODLANDS, TX 773848045

    Phone: (281) 363-3443

    Fax: (936) 271-1351

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 98 Open Payments records for all available years, with a total value of $3,570.

Total Amount is formed as General ($3,570) + Research ($0) + Ownership ($0) = $3,570.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: ABBVIE INC. ($800).

Total Amount

$3,570

General + Research + Ownership

Payments

98

Total payment records

General Amount

$3,570

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

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: 2017-08-17

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
I20170817002010IOptometryTXTBD

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
92012Established patient problem focused exam of visual system232148$0
92014Established patient complete exam of visual system189178$0
92004New patient complete exam of visual system10099$0
92083Exam of visual field with extended testing5346$0
92134Imaging of retina5248$0
View full utilization report →

Insurance plans in this area (ZIP 77401)

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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: 4082602156View full group profile
NameSpecialtyState
O P T O M E T R YTX
-TX
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YGA
O P T O M E T R YTX
O P T O M E T R YAZ
O P H T H A L M O L O G YTX
O P T O M E T R YTX
O P T O M E T R YTX

Reviews

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Frequently asked questions

What is the standard ID for BENJAMIN G ROACH (OD) in the U.S.?
In the U.S., BENJAMIN G ROACH (OD) is identified by NPI 1124541719.
Quick check: is BENJAMIN G ROACH (OD) active?
Public NPPES data shows BENJAMIN G ROACH (OD) with an active NPI status right now.
Which specialty label fits BENJAMIN G ROACH (OD)?
NPPES ties BENJAMIN G ROACH (OD) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to BENJAMIN G ROACH (OD)?
The directory associates BENJAMIN G ROACH (OD) with Bellaire, Texas. Check all listed addresses for suites or satellite offices.
Can I export BENJAMIN G ROACH (OD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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