Individual provider Active NPI

Thomas S Beal, O.D.

  • Optometrist
  • Beachwood, OH
National Provider Identifier
1245453117
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OH3844 Issued in OH
Practice address
26300 Cedar Rd Ste 2300
Beachwood, OH 44122-1185
Phone
(216) 378-1818
NPI assigned
Apr 10, 2007
Last updated
Oct 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OH3844 OH Primary

Addresses

Primary practice location

26300 Cedar Rd Ste 2300
Beachwood, OH 44122-1185

Mailing address

36470 Carriage LN
Willoughby, OH 44094-4175
Phone (440) 476-3756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20070706000216 OH Practitioner - Optometry 5698875581 Practice locations: Beachwood, OH

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

26300 Cedar Rd
Suite 2300
Beachwood, OH 44122-1185
Phone (216) 378-1818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OH3844OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas S. Beal, O.D. LLC Optometrist CurrentSince Oct 20, 2024 Accepting new patients

Locations

26300 Cedar Rd
Ste 2300
Beachwood, OH 44122
Phone (216) 378-1818

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1245453117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36470 CARRIAGE LN",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944175",
            "telephone_number": "440-476-3756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26300 CEDAR RD STE 2300",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221185",
            "telephone_number": "216-378-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAL",
        "first_name": "THOMAS",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OH3844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.