Andrea M. Beatty, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

1601 Issued in KS

Practice address

16202 Midland Dr
Shawnee, KS 66217-9535

Phone

(913) 962-2010

Fax

(913) 962-2013

NPI assigned

Aug 21, 2007

Last updated

Dec 13, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

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

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Westglen Eyecare PAGroup PAC ID 3072549989, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Westglen Eyecare PA

  • Optometrist
  • Shawnee, KS
  • NPI 1023178407
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386892800000",
    "number": "1093908329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16202 MIDLAND DR",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662179535",
            "telephone_number": "913-962-2010",
            "fax_number": "913-962-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16202 MIDLAND DR",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662179535",
            "telephone_number": "913-962-2010",
            "fax_number": "913-962-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATTY",
        "first_name": "ANDREA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2013-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "KS",
            "license": "1601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MO",
            "identifier": "30585025",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hope Bazille
• BD Homecare Services LLC
• Christopher Beal
• Tanner Beam, HIS
• Ashley Bean
• Eric Scott Beatty, OD
• Melanie M Beck, DDS
• Bethelem Wondimu Bedasso
• Jennifer Beech
• Ruth A Beezhold, MS CCC/SLP

• Corneal and Contact Management Optometrist in Shawnee, KS
• Providers in Shawnee, KS by specialty
• Corneal and Contact Management Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.