Pauline V. Beale, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT527 Issued in ME

Practice address

168 East Ave
Lewiston, ME 04240-5626

Phone

(207) 784-3564

Fax

(207) 782-2541

NPI assigned

Sep 20, 2005

Last updated

Jan 29, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1356337919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 EAST AVE",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405626",
            "telephone_number": "207-784-3564",
            "fax_number": "207-782-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 EAST AVE",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405626",
            "telephone_number": "207-784-3564",
            "fax_number": "207-782-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEALE",
        "first_name": "PAULINE",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2008-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT527",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "ME",
            "license": "OPT527",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "ME",
            "license": "OPT527",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "0324520001",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "002203",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carl Eben Barus, M.D.
• Jessica Megan Basaldua, LMSW-CC
• Bates College Health Center
• Bates Mill Dermatology, P.L.L.C.
• Brooke L Beal, RD
• Lexi Jade Beals, CADC, LSW
• Kara Lee Beaule, LCPC-C
• Ashley Beaulieu
• Brian Beaulieu
• Deborah Twing Beaulieu, PT

• Optometrist in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Optometrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.