B.E.P. Optical LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

602922132 Issued in WA

Legal business name

B.E.P. OPTICAL LLC

Practice address

4540 Cordata Pkwy
Suite #103
Bellingham, WA 98226-8059

Phone

(360) 676-9200

Fax

(360) 676-9206

NPI assigned

Sep 30, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Robert L. Alan, M.D.

Title

Owner

Phone

(360) 676-9200

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristy Lynn Hendrickson

  • Optician
  • Bellingham, WA
  • NPI 1952620486
  NPD
• Christopher D Kullas, MD

  • Ophthalmology Physician
  • Bellingham, WA
  • NPI 1871563429
  NPD (past)

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1073847596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 CORDATA PKWY",
            "address_2": "SUITE #103",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268059",
            "telephone_number": "360-676-9200",
            "fax_number": "360-676-9206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 CORDATA PKWY",
            "address_2": "SUITE #103",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268059",
            "telephone_number": "360-676-9200",
            "fax_number": "360-676-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B.E.P. OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-30",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "ALAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-676-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "WA",
            "license": "602922132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBI",
            "identifier": "602922132",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark A Awolesi, MD
• Andrew Ayars, MD
• Elizabeth Anna Ayivi-Ga Togbassa, MED, LABA, RBT
• Reathm K Azad, DDS
• Karim Aziz, PHARMD
• Shannon Sue Ba-Aye, LMT
• William Michael Baader, MD
• Babeskin Bodycare Inc. (HealthMegaMall.com)
• Claire Babirye
• Carlos E Baca, PA

• Eyewear Supplier in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Eyewear Supplier in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.