Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Ophthalmology Associates of Benton, Pllc

Specialist in Benton, AR · enumerated 2005 · authorized official Linda Detherage, Insurance & Credentialing.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1699774794

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Registry record

Entity type Organization (Type 2)

Legal business name Ophthalmology Associates of Benton, Pllc

Practice address 3 Medical Park Dr, Suite 300, Benton, AR, 72015

Phone (501) 778-1113

Fax (501) 778-5391

Enumeration date Jul 20, 2005

Last updated in NPPES Sep 30, 2013

Taxonomy & classification

174400000X Specialist Other Service Providers · License C7930 (AR) Primary

174400000X Specialist Other Service Providers · License C7476 (AR) Secondary

174400000X Specialist Other Service Providers · License E-2274 (AR) Secondary

Authorized official

Name Linda Detherage

Title Insurance & Credentialing

Phone (501) 778-1113

Other identifiers

Identifier	Type	State	Issuer
5B790	Other	AR	BLUE CROSS BLUE SHIELD
140820002	Medicaid	AR	-
CI3712	Other	AR	RAILROAD MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Ophthalmology Associates of Benton, Pllc located?

The practice location on file with NPPES is in Benton, AR.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-09-30. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Annette Enderlin Ophthalmology Physician · Benton, AR NPI 1457325417 Alan Hughes Ophthalmology Physician · Benton, AR NPI 1992779722 Phillip Suffridge Ophthalmology Physician · Benton, AR NPI 1730142530 Saline Optical, Inc. Eyewear Supplier · Benton, AR NPI 1649221730 Samuel Taggart Family Medicine Physician · Benton, AR NPI 1013098334 Surgical Associates of Benton Specialist · Benton, AR NPI 1497812903 Phillip Suffridge,M.D.,P.A. Ophthalmology Physician · Benton, AR NPI 1376684258 James Cooper Family Medicine Physician · Benton, AR NPI 1437284189

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-09-30.