Jeremy A Beatty, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

2004019126 Issued in MO

Practice address

224 S Woods Mill Rd
Suite 700 South
Chesterfield, MO 63017-3451

Phone

(314) 469-1230

Fax

(314) 469-6709

NPI assigned

Dec 11, 2006

Last updated

Feb 13, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MO

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

University of Missouri St Louis - School of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Glaucoma Consultants of St Louis LLCGroup PAC ID 0345141792, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.54 of 100Reported as group

Quality

98.13

Promoting interoperability

100

Improvement activities

40

Cost

66.99

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Glaucoma Consultants of St Louis, LLC

  • Ophthalmology Physician
  • Chesterfield, MO
  • NPI 1235147661
  Medicare reassignment Care Compare group
• Chabot Community Eye Care PC

  dba Mobile Eye Care Solutions

  • Optometrist
  • Ferguson, MO
  • NPI 1831228071
  NPD (past)
• Cohen Eye Associates Limited

  • Ophthalmology Physician
  • Saint Louis, MO
  • NPI 1295872026

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329091200000",
    "number": "1225198013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 S WOODS MILL RD",
            "address_2": "SUITE 700 SOUTH",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173451",
            "telephone_number": "314-469-1230",
            "fax_number": "314-469-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 S WOODS MILL RD",
            "address_2": "SUITE 700 SOUTH",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173451",
            "telephone_number": "314-469-1230",
            "fax_number": "314-469-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATTY",
        "first_name": "JEREMY",
        "middle_name": "A",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2012-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2004019126",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009701",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046009701",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "195289",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "319173803",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney D Baxter-Baublitz, ANP
• Teresa Bayer, OTR/L, M, ED
• Matthew Christian Bayes, MD
• BDD of Missouri P.C. (Butler Dental)
• Eulonda M Beard
• Robert Emil Beck, DMD
• Patricia Becker
• Talya Becker
• Sarah Elizabeth Beckmann
• Elizabeth Beckner

• Optometrist in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.