Organization Active NPI

Espy Specs SC

  • Optometrist
  • Eau Claire, WI
National Provider Identifier
1104473537
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ESPY SPECS SC
Practice address
2720 Golf Rd
Eau Claire, WI 54701-8011
Phone
(715) 318-0906
Fax
(715) 800-2017
NPI assigned
Aug 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Authorized official

Name
Dr. Siobhan Beeksma, OD
Title
Optometrist
Phone
(715) 318-0906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2720 Golf Rd
Eau Claire, WI 54701-8011

Mailing address

2720 Golf Rd
Eau Claire, WI 54701-8011
Phone (715) 318-0906

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191205002891 WI Part B Supplier - Clinic/Group Practice 0547693582 Receives reassigned benefits from 1 practitioner
Practice locations: Eau Claire, WI

National Provider Directory

National Provider Directory

Locations

2720 Golf Rd
Eau Claire, WI 54701
Phone (715) 318-0906

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571616000000",
    "number": "1104473537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 GOLF RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547018011",
            "telephone_number": "715-318-0906",
            "fax_number": "715-800-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 GOLF RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547018011",
            "telephone_number": "715-318-0906",
            "fax_number": "715-800-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESPY SPECS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-10-21",
        "status": "A",
        "authorized_official_last_name": "BEEKSMA",
        "authorized_official_first_name": "SIOBHAN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "715-318-0906",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.