Individual provider Active NPI

George F Beamon

  • Optician
  • Greensboro, NC
National Provider Identifier
1225889256
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
781 Issued in NC
Practice address
2107 Pyramid Village Blvd
Greensboro, NC 27405-5100
Phone
(336) 375-1239
NPI assigned
Mar 28, 2024
Last updated
Mar 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X
Optician 156FX1800X 781 NC Primary

Addresses

Primary practice location

2107 Pyramid Village Blvd
Greensboro, NC 27405-5100

Mailing address

2107 Pyramid Village Blvd
Greensboro, NC 27405-5100
Phone (336) 375-1239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
781NCMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1225889256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 PYRAMID VILLAGE BLVD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055100",
            "telephone_number": "336-375-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 PYRAMID VILLAGE BLVD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055100",
            "telephone_number": "336-375-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAMON",
        "first_name": "GEORGE",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NC",
            "license": "781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.