Janet Meong Beack, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT12547 Issued in CA

Practice address

4690 Convoy St Ste 103
San Diego, CA 92111-2317

Phone

(858) 268-1557

NPI assigned

Feb 13, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396887345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4690 CONVOY ST STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4690 CONVOY ST STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112317",
            "telephone_number": "858-268-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEACK",
        "first_name": "JANET",
        "middle_name": "MEONG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT12547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beach Psychiatry Associates PC
• Beach Psychotherapy
• Daniel Gregory Beach, DPT
• John Madison Beach, LCSW
• Sara Beachy
• Luann Sue Beacom, N.P.
• Beacon Family Therapy, Prof. Corp.
• Dylan Steven Beadle
• Jeniffer Beadles, REGISTERED DIETITIAN
• Laura Dora Beadles, ACSW

• Optometrist in San Diego, CA
• Providers in San Diego, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.