Julia Marie Beverick II
Individual provider Active NPI Personal Care Attendant · Sandusky, OH
NPI 1104123918 · NPPES record last updated Aug 11, 2023
Key facts
- NPI
- 1104123918
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 202 Cedar Brook LN Ste 105
Sandusky, OH 44870-5433 - Phone
- (419) 357-1123
- NPI assigned
- Feb 15, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S7225 | OH | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Team, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | S7225 | OH | |
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
202 Cedar Brook LN Ste 105
Sandusky, OH 44870-5433
Mailing address
202 Cedar Brook LN Ste 105
Sandusky, OH 44870-5433
Phone (419) 357-1123
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2275943 | Medicaid | OH |
Other providers in Sandusky, OH
- Bryna Alyse Benninghoff
- Jaime L Bentley
- Tanya Marie Bernal
- Claudia Berry
- James R Berry
- Mudita Bhatia
- Eric Nicholas Bialaski
- Alaina A Bier
- Paula K Bier
- Shelly Jean Biggert
All providers in Sandusky, OH · Personal Care Attendant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.