Individual provider Active NPI

Erica Beaver, O.D.

  • Optometrist
  • Hanover, PA
National Provider Identifier
1023468592
Registry record updated Oct 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003153 Issued in PA
Practice address
250 E Walnut St
Hanover, PA 17331-2534
Phone
(717) 632-6063
NPI assigned
Jun 15, 2016
Last updated
Oct 8, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003153 PA Primary
Optometrist 152W00000X TA2559 MD

Addresses

Primary practice location

250 E Walnut St
Hanover, PA 17331-2534

Mailing address

250 E Walnut St
Hanover, PA 17331-2534
Phone (717) 632-6063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD2 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
I20160713000913 PA Practitioner - Optometry 9931491875 Reassigns benefits to 1 organization
I20160906001656 MD Practitioner - Optometry 9931491875

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gettysburg Ophthalmology Associates PCGroup PAC ID 6507840865, 3 clinicians

Practice addresses (Care Compare)

455 S Washington St
Gettysburg, PA 17325-2516
Phone (717) 334-9159

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.57 of 100Reported as group
Quality
98.91
Improvement activities
40
Cost
100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: ebeaverod@gettysburgophth.direct.eyemdemr.com

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475884800000",
    "number": "1023468592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E WALNUT ST",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173312534",
            "telephone_number": "717-632-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E WALNUT ST",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173312534",
            "telephone_number": "717-632-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAVER",
        "first_name": "ERICA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003153",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2559",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, PA

Sources for this page

Verify at the official NPI Registry.