Organization Active NPI

Douglas C. Beemer, O.D., P.C.

  • Optometrist
  • Pierre, SD
National Provider Identifier
1336206556
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
152W0000X Issued in SD
Legal business name
DOUGLAS C. BEEMER, O.D., P.C.
Practice address
100 W Capitol Ave
Pierre, SD 57501-2036
Phone
(605) 224-0404
Fax
(605) 224-8026
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2010

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

Authorized official

Name
Douglas Beemer
Title
Optometrist
Phone
(605) 224-0404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 152W0000X SD Primary

Addresses

Primary practice location

100 W Capitol Ave
Pierre, SD 57501-2036

Mailing address

100 W Capitol Ave
Pierre, SD 57501-2036
Phone (605) 224-0404

Other identifiers 1

IdentifierTypeStateIssuer
0004210OtherSDBLUECROSS BLUESHIELD

Other names 1

  • Beemer and Bartlett Eye Clinic Other name

National Provider Directory

National Provider Directory

Locations

100 W Capitol Ave
Pierre, SD 57501
Phone (605) 224-0404

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265846400000",
    "number": "1336206556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W CAPITOL AVE",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575012036",
            "telephone_number": "605-224-0404",
            "fax_number": "605-224-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W CAPITOL AVE",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575012036",
            "telephone_number": "605-224-0404",
            "fax_number": "605-224-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS C. BEEMER, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2010-02-11",
        "status": "A",
        "authorized_official_last_name": "BEEMER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "605-224-0404"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SD",
            "license": "152W0000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "0004210",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beemer and Bartlett Eye Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pierre, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.