Andrea L Noonan, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4659/T1434 Issued in OH

Practice address

228 Barks Rd E
Marion, OH 43302-6426

Phone

(740) 389-2306

Fax

(740) 386-2859

NPI assigned

Dec 1, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 1995

Medicare assignment

May accept Medicare assignment

Group practices

Dr. Johnathan Beauchamp and Associates, LLCGroup PAC ID 2466706239, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andrea.noonan.1@16701.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. Johnathan Beauchamp and Associates, LLC

  • Optometrist
  • Marion, OH
  • NPI 1548750300
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233187200000",
    "number": "1316921570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 BARKS RD E",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026426",
            "telephone_number": "740-389-2306",
            "fax_number": "740-386-2859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 BARKS RD E",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026426",
            "telephone_number": "740-389-2306",
            "fax_number": "740-386-2859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOONAN",
        "first_name": "ANDREA",
        "middle_name": "L",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2009-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4659/T1434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rafael A Nivar-Aristy, MD
• Joshua Noblet
• Amber N Noe, STNA
• Britney Noffsinger
• A. Reignier Magsombol Nohay, M.D.
• Nichole Norris
• Sarah Ellen Norton, MSPAS, PA-C
• Ryan Novotny, PHARM.D.
• Bernard Harold Nowacki, MD
• Krysta Nunziata

• Optometrist in Marion, OH
• Providers in Marion, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; 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.