Johnathan Lowell Beauchamp, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6265 Issued in OH

Practice address

240 W Cook Rd
Mansfield, OH 44907-2451

Phone

(419) 525-3737

Fax

(419) 525-3740

NPI assigned

Jun 17, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

Other, 2014

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

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

  dba Family Vision Care of Marion

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

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435276800000",
    "number": "1346654498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 W COOK RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449072451",
            "telephone_number": "419-525-3737",
            "fax_number": "419-525-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 W COOK RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449072451",
            "telephone_number": "419-525-3737",
            "fax_number": "419-525-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUCHAMP",
        "first_name": "JOHNATHAN",
        "middle_name": "LOWELL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-17",
        "last_updated": "2015-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1952DT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Bayer, CNP
• Yohannes Bayissa, M.D.
• BCC Ontario Operations LLC (Elmcroft of Ontario)
• Elizabeth Beadle
• Allison Beattie, CNP
• Toni Jo Beauford, RN
• Danielle Nicole Bechtel, LPN
• Lani Becker
• Katherine Helen Beech
• Meghann Catherine Beeching, RD, LD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; 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.