Individual provider Active NPI

Steve Beaty, O.D.

  • Optometrist
  • Tupelo, MS
National Provider Identifier
1043394208
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
669 Issued in MS
Practice address
837 Kings Crossing Dr Ste 10
Tupelo, MS 38804-0952
Phone
(662) 269-4175
Fax
(662) 269-4176
NPI assigned
Oct 24, 2006
Last updated
Jul 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 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 669 MS Primary

Addresses

Primary practice location

837 Kings Crossing Dr Ste 10
Tupelo, MS 38804-0952

Mailing address

1020 N Gloster St Ste 261
Tupelo, MS 38804-1202
Phone (662) 269-4175

Other identifiers 1

IdentifierTypeStateIssuer
00880181MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AL2 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
I20110119000752 MS Practitioner - Optometry 3971501040 Reassigns benefits to 2 organizations
I20190125002018 AL Practitioner - Optometry 3971501040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aria Eye Care LLCGroup PAC ID 5193992972, 22 clinicians
Steve Beaty OD PLLCGroup PAC ID 9537554704, 3 clinicians

Practice addresses (Care Compare)

211 Ana Dr
Florence, AL 35630-1768
Phone (256) 766-8963

837 Kings Crossing Dr
Suite 10
Tupelo, MS 38804-0952
Phone (662) 269-4175

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
669MSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Steve Beaty, O.D., PLLC Optometrist CurrentSince Dec 7, 2021 Accepting new patients
Total Eye Care PC Optometrist PastSince Jun 1, 1999 Accepting new patients

Locations

1020 N Gloster St
Tupelo, MS 38804
Phone (407) 508-8618

837 Kings Crossing Dr
Ste 10
Tupelo, MS 38804
Phone (662) 269-4175

Organizations & group practices 4

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1043394208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 N GLOSTER ST STE 261",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388041202",
            "telephone_number": "662-269-4175",
            "fax_number": "662-269-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 KINGS CROSSING DR STE 10",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388040952",
            "telephone_number": "662-269-4175",
            "fax_number": "662-269-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATY",
        "first_name": "STEVE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00880181",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.