Beatty-JTJV LLC
A Medicare group practice based in Sand Springs, OK: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 7810426210), with 10 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 7810426210
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- OK
- Enrollments
- 1
- Group size
- 4 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20250130001624 | OK | Part B Supplier - Clinic/Group Practice | 1093531766 |
NPIs in this group 4
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
Practice locations
- Collinsville, OK1
- Claremore, OK1
- Broken Arrow, OK1
- Sand Springs, OK1
Clinicians 10
Clinicians who reassign their Medicare benefits to this group (10) or whom Care Compare lists as members (4).
-
Victoria A. Rahme Fairchild, OD
- Optometrist
- Oklahoma City, OK
- NPI 1275759003
-
Kelly Glass, OD
- Optometrist
- Broken Arrow, OK
- NPI 1023425675
-
William Martin Grovenburg, OD
- Optometrist
- Collinsville, OK
- NPI 1336820547
-
Kimberly Sue Hefner-Poe, O.D.
- Optometrist
- Oklahoma City, OK
- NPI 1225081367
-
Alfonso Hernandez Jr., OD
- Optometrist
- Broken Arrow, OK
- NPI 1205314572
-
Mallorie Beth Larimore, OD
- Optometrist
- Tulsa, OK
- NPI 1710705975
-
Brooke M. Major, OD
- Optometrist
- Chehalis, WA
- NPI 1487456471
-
Maa Ahema Parry, OD., MED
- Optometrist
- Tulsa, OK
- NPI 1053153932
-
Haley Ruth Sparks, OD
- Optometrist
- Oklahoma City, OK
- NPI 1861006918
-
James Thirion, O.D.
- Optometrist
- Claremore, OK
- NPI 1093157281
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.