Individual provider Active NPI

Joseph J Beaman, O.D.

  • Optometrist
  • Dayton, OH
National Provider Identifier
1114068384
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2902T135 Issued in OH
Practice address
2601 Far Hills Ave
Dayton, OH 45419-1634
Phone
(937) 298-1703
Fax
(937) 298-6344
NPI assigned
Feb 9, 2007
Last updated
Jul 13, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2902T135 OH Primary

Addresses

Primary practice location

2601 Far Hills Ave
Dayton, OH 45419-1634

Mailing address

2601 Far Hills Ave
Dayton, OH 45419-1634
Phone (937) 298-1703

Other identifiers 3

IdentifierTypeStateIssuer
2220178OtherUNITED HEALTH CARE
000000006903OtherANTHEM
0256244MedicaidOH

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20100922000045 OH Practitioner - Optometry 2062538580 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2902OHMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Kunesh Eye Center, Inc CurrentSince Oct 1, 1990 Accepting new patients
Kunesh Eye Center, Inc CurrentSince Oct 1, 1990 Accepting new patients

Locations

2601 Far Hills Ave
Oakwood, OH 45419
Phone (937) 298-1093

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: joseph.beaman.p1@direct.kunesheyecenter.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1114068384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 FAR HILLS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454191634",
            "telephone_number": "937-298-1703",
            "fax_number": "937-298-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 FAR HILLS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454191634",
            "telephone_number": "937-298-1703",
            "fax_number": "937-298-6344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAMAN",
        "first_name": "JOSEPH",
        "middle_name": "J",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "2902T135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2220178",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000006903",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0256244",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.