Peter A Beauboeuf, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT879 Issued in ME

Practice address

15 Winners Cir
Suite 2
Topsham, ME 04086-1740

Phone

(207) 406-4635

Fax

(207) 406-4627

NPI assigned

Jul 8, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in ME

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

New England College of Optometry, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Doc B'S Eye Care, P.a.

  • Optometrist
  • Topsham, ME
  • NPI 1275978793
  Medicare reassignment NPD Authorized official
• Merrimack Eye Care, LLC

  • Optometrist
  • Newington, NH
  • NPI 1336385087
  NPD (past)

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368144000000",
    "number": "1104824747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WINNERS CIR",
            "address_2": "SUITE 2",
            "city": "TOPSHAM",
            "state": "ME",
            "postal_code": "040861740",
            "telephone_number": "207-406-4635",
            "fax_number": "207-406-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 WINNERS CIR",
            "address_2": "SUITE 2",
            "city": "TOPSHAM",
            "state": "ME",
            "postal_code": "040861740",
            "telephone_number": "207-406-4635",
            "fax_number": "207-406-4627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUBOEUF",
        "first_name": "PETER",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2013-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431824199",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN ME",
            "identifier": "ME 133201",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "016356",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aubrey C. Gail DCPC
• Janet L Austin, MASTERS/CERTIFICATIO
• Thomas C Babbitt II, LCPC-C
• Ritika Bahri
• Sheila A Balog, PH.D.
• Lisa M Belisle, MD, MPH
• Jessica Bell, DO
• David Conner Benton, MD
• Jason Carlton Berry, PTA
• Derek Stephen Bessey, LCSW

• Optometrist in Topsham, ME
• Providers in Topsham, ME by specialty
• Optometrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.