Individual provider Active NPI

Nicole L Beedle, O.D.

  • Corneal and Contact Management Optometrist
  • Orlando, FL
National Provider Identifier
1063521201
Registry record updated Apr 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
OPC3209 Issued in FL
Practice address
519 N Mills Ave
Orlando, FL 32803-5313
Phone
(407) 447-7739
Fax
(407) 896-6547
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X OPC3209 FL Primary

Addresses

Primary practice location

519 N Mills Ave
Orlando, FL 32803-5313

Mailing address

519 N Mills Ave
Orlando, FL 32803-5313
Phone (407) 463-5280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20090512000631 FL Practitioner - Optometry 5597814020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Williams Giedd and Associates OD PAGroup PAC ID 3476698887, 4 clinicians

Practice addresses (Care Compare)

519 N Mills Ave
Orlando, FL 32803-5313
Phone (407) 447-7739

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Giedd & Associates OD PA CurrentSince Sep 21, 2017 Accepting new patients

Locations

519 N Mills Ave
Orlando, FL 32803
Phone (407) 447-7739

516 E Jackson St
#7
Orlando, FL 32801
Phone (407) 447-7739

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303171200000",
    "number": "1063521201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 N MILLS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035313",
            "telephone_number": "407-463-5280",
            "fax_number": "407-896-6547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 N MILLS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035313",
            "telephone_number": "407-447-7739",
            "fax_number": "407-896-6547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEEDLE",
        "first_name": "NICOLE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC3209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.