Individual provider Active NPI

Guy Randall Beavers, OD

  • Optometrist
  • Spring, TX
National Provider Identifier
1144279092
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3914TG Issued in TX
Practice address
4314 W. Braker LN
Suite 215
Spring, TX 78757-0000
Phone
(512) 327-4123
Fax
(512) 327-9156
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3914TG TX Primary

Addresses

Primary practice location

4314 W. Braker LN
Suite 215
Spring, TX 78757-0000

Mailing address

4314 W. Braker LN
Suite 215
Spring, TX 78757-0000
Phone (512) 327-4123

Other identifiers 1

IdentifierTypeStateIssuer
00308VOtherTXMEDICARE GROUP PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20071024000635 TX Practitioner - Optometry 1850488792 Reassigns benefits to 1 organization
Practice locations: Austin, TX; Spring, TX

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mann Eye Center, PAGroup PAC ID 4082513379, 48 clinicians

Practice addresses (Care Compare)

18850 S Memorial Blvd
Humble, TX 77338-4288
Phone (281) 446-7900

Merit-based Incentive Payment System (MIPS)

Final score
87.12 of 100Reported as group
Quality
89.41
Promoting interoperability
88
Improvement activities
40
Cost
77.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3914TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mann Eye Center Optometrist CurrentSince Sep 17, 2012 Accepting new patients
Mann Eye Center, PA Optometrist Current Accepting new patients
Mann Eye Center, PA CurrentSince Sep 17, 2012 Accepting new patients
Mann Eye Center, PA Past Accepting new patients

Locations

4314 W Braker Ln
Ste 215
Austin, TX 78759
Phone (512) 200-3937

2600 Via Fortuna
Ste 400
Austin, TX 78746
Phone (512) 327-4123

4314 W Braker Ln
Austin, TX 78759
Phone (512) 327-4123

1530 Sun City Blvd
Ste 150
Georgetown, TX 78633
Phone (512) 327-4123

2616 FM 2920 Rd
Ste I
Spring, TX 77388
Phone (281) 353-8300

2616 FM 2920 Rd
Ste 1
Spring, TX 77388
Phone (281) 353-8300

Interoperability endpoints

  • Direct secure messaging: gbeavers@manneye.emadirect.md

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1144279092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4314 W. BRAKER LN",
            "address_2": "SUITE 215",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "787570000",
            "telephone_number": "512-327-4123",
            "fax_number": "512-327-9156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4314 W. BRAKER LN",
            "address_2": "SUITE 215",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "787570000",
            "telephone_number": "512-327-4123",
            "fax_number": "512-327-9156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAVERS",
        "first_name": "GUY",
        "middle_name": "RANDALL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3914TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "00308V",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.