Individual provider Active NPI

Bijal Beecum, O.D.

  • Optometrist
  • Wesley Chapel, FL
National Provider Identifier
1285922203
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4693 Issued in FL
Practice address
1201 County Road 581
Wesley Chapel, FL 33544-9261
Phone
(813) 994-2614
NPI assigned
Jul 11, 2011
Last updated
Dec 9, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4693 FL Primary

Addresses

Primary practice location

1201 County Road 581
Wesley Chapel, FL 33544-9261

Mailing address

15651 Dunns Pond CT
Odessa, FL 33556-3738
Phone (727) 207-4141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20140723000703 FL Practitioner - Optometry 3870719198 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Larry M. Perich Dopa Optometrist CurrentSince May 1, 2014 Accepting new patients

Locations

2020 Seven Springs Blvd
New Pt Richey, FL 34655
Phone (727) 372-1311

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": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1285922203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15651 DUNNS POND CT",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335563738",
            "telephone_number": "727-207-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 COUNTY ROAD 581",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335449261",
            "telephone_number": "813-994-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEECUM",
        "first_name": "BIJAL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-11",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

Verify at the official NPI Registry.