Organization Active NPI

Steven G Beals OD PA

  • Optometrist
  • Montevideo, MN
National Provider Identifier
1164607271
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2174 Issued in MN
Legal business name
STEVEN G BEALS OD PA
Practice address
209 N 1St St
Montevideo, MN 56265-1403
Phone
(320) 269-6822
Fax
(320) 269-6115
NPI assigned
Jan 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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

Authorized official

Name
Dr. Steven Gus Beals, ODNPI 1598981995
Title
President
Phone
(320) 269-6822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2174 MN Primary

Addresses

Primary practice location

209 N 1St St
Montevideo, MN 56265-1403

Mailing address

209 N 1St St
P O Box 218
Montevideo, MN 56265-1403
Phone (320) 269-6822

Other names 1

  • Beals Optometry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050928000540 MN Part B Supplier - Clinic/Group Practice 1850326919 Receives reassigned benefits from 1 practitioner
Practice locations: Montevideo, MN
O20120828000415 MN DME Supplier - Physician - Optometrist 1850326919 Practice locations: Montevideo, MN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Beals Optometry209 N 1St St, Montevideo, MN 56265-0218(320) 269-6822 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 2005

National Provider Directory

National Provider Directory

Locations

209 N 1st St
Montevideo, MN 56265
Phone (320) 269-6822

Practitioners & affiliated clinicians

Practitioners 1

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": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1164607271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 N 1ST ST",
            "address_2": "P O BOX 218",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562651403",
            "telephone_number": "320-269-6822",
            "fax_number": "320-269-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 N 1ST ST",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562651403",
            "telephone_number": "320-269-6822",
            "fax_number": "320-269-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN G BEALS OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "BEALS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "GUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "320-269-6822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beals Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montevideo, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.