Individual provider Active NPI

William Richard Beaty, OD

  • Optometrist
  • Asheville, NC
National Provider Identifier
1003539214
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2690 Issued in NC
Practice address
3 South Tunnel Road
Suite 187
Asheville, NC 28805
Phone
(828) 299-0055
Fax
(855) 978-2116
NPI assigned
Sep 22, 2022
Last updated
Sep 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2690 NC Primary

Addresses

Primary practice location

3 South Tunnel Road
Suite 187
Asheville, NC 28805

Mailing address

PO Box 1330
Belmont, NC 28012-1330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241125000071 NC Practitioner - Optometry 4587006705 Reassigns benefits to 1 organization
I20260407003476 TN Practitioner - Optometry 4587006705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Premier Eyecare, PLLCGroup PAC ID 8426244203, 3 clinicians
Corte and Wruble, OD, PLLCGroup PAC ID 5294002689, 15 clinicians

Practice addresses (Care Compare)

11111 Kingston Pike
Knoxville, TN 37934-2807
Phone (865) 966-0100

3 S Tunnel Rd
Suite 187
Asheville, NC 28805-2238
Phone (828) 299-0055

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2690NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Corte and Wruble, OD, PLLC Optometrist CurrentSince Nov 1, 2024 Accepting new patients
Corte OD PLLC Optometrist Past Accepting new patients

Locations

27 Schenck Pkwy
Ste 140
Asheville, NC 28803
Phone (828) 684-3497

3 S Tunnel Rd
#187
Asheville, NC 28805
Phone (828) 299-0055

3 S Tunnel Rd
Ste 187
Asheville, NC 28805
Phone (828) 299-0055

6801 Northlake Mall Dr
Ste 253
Charlotte, NC 28216
Phone (704) 509-4366

Networks

  • MS PPO
  • AL HMO D-SNP
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • MS PPO C-SNP
  • TN PPO C-SNP
  • MS PPO D-SNP
  • AL HMO
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • TN PPO

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1003539214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1330",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280121330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SOUTH TUNNEL ROAD",
            "address_2": "SUITE 187",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "28805",
            "telephone_number": "828-299-0055",
            "fax_number": "855-978-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATY",
        "first_name": "WILLIAM",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.