Stacey Beck, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003044A Issued in IN

Practice address

1850 Sagamore Pkwy W
West Lafayette, IN 47906-1368

Phone

(765) 743-3132

Fax

(765) 743-2455

NPI assigned

Jul 5, 2006

Last updated

Aug 4, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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 1

Specialty

Optometry

Education

Indiana University - School of Optometry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optometric Management Services IncGroup PAC ID 5092722116, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Optometric Management Services Inc

  dba Optix Optometry

  • Eyewear Supplier
  • West Lafayette, IN
  • NPI 1326077603
  Medicare reassignment Care Compare group
• Norman Eyecare LTD

  dba Norman & Miller Eyecare

  • Optometrist
  • Frankfort, IN
  • NPI 1770768418
  NPD (past)
• Norman Eyecare LTD.

  dba Norman & Miller EyeCare

  • Optometrist
  • Lebanon, IN
  • NPI 1558920439
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1053342410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 NORTHWESTERN AVE",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479062268",
            "telephone_number": "765-464-8573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 SAGAMORE PKWY W",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061368",
            "telephone_number": "765-743-3132",
            "fax_number": "765-743-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "STACEY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003044A",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IN",
            "license": "18003044B",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200269560",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandy Barley
• Kayla Barrera
• Carolyn Ann Bart, OTR/L
• Elizabeth Anne Basquin, M.D.
• Emma Bean
• Steven Matthew Beck, O.D.
• Julie Lynn Beckwith, PSYD
• Erica Bellamy, M. ED, LAT, ATC
• Natalia R Benesko-Milner, LMHC,MS,CADAC II
• Ashlynn Bennett

• Optometrist in West Lafayette, IN
• Providers in West Lafayette, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.