Active NPI
Guy Randall Beavers, OD
- Optometrist
- Spring, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3914TG
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00308V | Other | TX | MEDICARE 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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3914TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mann Eye Center | Optometrist | Current | Accepting new patients |
| Mann Eye Center, PA | Optometrist | Current | Accepting new patients |
| Mann Eye Center, PA | Current | 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
- 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.
-
- Clinic/Center
- Austin, TX
- NPI 1609889765
-
- Clinic/Center
- Sugar Land, TX
- NPI 1093950149
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.