Active NPI
Marisa Beebe, OD
- Optometrist
- Meza, AZ
National Provider Identifier
1356447510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1527
- Practice address
- 1445 W. Southern Avenue
Space 2192
Meza, AZ 85202 - Phone
- (480) 345-9913
- Fax
- (480) 345-8709
- NPI assigned
- Sep 15, 2006
- Last updated
- May 2, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1527 | AZ | Primary |
Addresses
Primary practice location
1445 W. Southern Avenue
Space 2192
Meza, AZ 85202
Mailing address
11103 West Avenue
San Antonio, TX 78213
Phone (210) 524-6803
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1527 | AZ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medical & Surgical Specialists of Colorado LLC | Past | Accepting new patients | |
| Myeyedr Optometry of Washington, PLLC | Optometrist | Past | Accepting new patients |
| Visionworks Inc | Past | Accepting new patients | |
| Yuma Eyecare Group LLC | Optometrist | Past | Accepting new patients |
| Luxottica of America Inc | Past | Accepting new patients |
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209686400000",
"number": "1356447510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11103 WEST AVENUE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78213",
"telephone_number": "210-524-6803",
"fax_number": "210-524-6587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1445 W. SOUTHERN AVENUE",
"address_2": "SPACE 2192",
"city": "MEZA",
"state": "AZ",
"postal_code": "85202",
"telephone_number": "480-345-9913",
"fax_number": "480-345-8709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEEBE",
"first_name": "MARISA",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2008-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "1527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meza, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.