Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BENJAMIN JOHN KONYNENBELT, O.D.
DeactivatedDR. BENJAMIN JOHN KONYNENBELT, O.D. is a Optometrist healthcare provider located in ESTERO, Florida. NPI 1114300472 is deactivated in the NPPES registry. Verify at CMS.
Optometrist · ESTERO, FL
This NPI has been deactivated.
The record was deactivated on November 20, 2024.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1114300472
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 6, 2015 (9.3753424657534 yrs)
- Last Updated
- Dec 11, 2024
- Deactivated
- Nov 20, 2024
- License
-
OPC5272 (FL)
Practice Information
- Address
-
19527 HIGHLAND OAKS DR STE 203ESTERO, FL, 339289637Browse FL providers · Browse ZIP 33928
- Phone
- 2393178200
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in ESTERO, FL
| Name | Credential | NPI |
|---|---|---|
| CARLOS SANCHEZ | OD | 1942201298 |
| WENDY UYEN BUI | O.D. | 1770770893 |
| JESSIE ELIZABETH KONYNENBELT | O.D. | 1659749323 |
| DR. ALEXA DRUBI | OD | 1457903809 |
| THUY THI NGUYEN | OD | 1043834542 |
| WALTER ALVAREZ | — | 1982398178 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.