Courtney Lynn Beaumont, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5928 Issued in FL

Practice address

919 Mall Ring Rd
Sebring, FL 33870-8515

Phone

(863) 658-0645

NPI assigned

Jun 13, 2021

Last updated

Mar 21, 2024By 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 1

Addresses

Other names 1

• Courtney Lynn Sandifer Former name

Medicare fee-for-service enrollment

Enrolled in FL

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

Southern College of Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Samuel J Teske OD PAGroup PAC ID 2860780574, 12 clinicians

Pinnacle Vision Care, IncGroup PAC ID 0244629863, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91 of 100Reported as group

Quality

97.39

Promoting interoperability

100

Improvement activities

40

Cost

72.6

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: courtney.beaumont@esmf.direct.eyemdemr.com

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.

• Pinnacle Vision Care, Inc

  • Optometrist
  • Sebring, FL
  • NPI 1619647724
  Medicare reassignment Care Compare group NPD
• Samuel J Teske OD PA

  dba The Eye Doctors of New Tampa

  • Optometrist
  • Tampa, FL
  • NPI 1073807962
  Medicare reassignment Care Compare group NPD
• Florida Woman Care, LLC

  dba Alline

  • Obstetrics & Gynecology Physician
  • Tampa, FL
  • NPI 1386823243
  NPD
• True Eye Experts West Palm LLC

  dba True Eye Experts Vero Beach

  • Optometrist
  • Vero Beach, FL
  • NPI 1184393720
  NPD (past)

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

{
    "created_epoch": "1623542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1396313722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 MALL RING RD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338708515",
            "telephone_number": "863-658-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 MALL RING RD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338708515",
            "telephone_number": "863-658-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUMONT",
        "first_name": "COURTNEY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-13",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "5928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "SANDIFER",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eleanor Bath
• Crystal Marie Baugh, MH 13505
• Bay Pines Vamc
• Beacon Respiratory Services, Inc. (Encore Respiratory)
• Pamela Denise Bearden, FNP-C
• Behavioral & Wellness Solution LLC
• Stephen F Beissinger, M.D.
• Miguel F Beltre, M.D
• Desreen E Bennett-Blake, A.R.N.P.
• Lloyd Lynn Benson, R.P.T.

• Optometrist in Sebring, FL
• Providers in Sebring, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.