Individual provider Active NPI

Brian R Beissel, OD

  • Optometrist
  • Lansing, MI
National Provider Identifier
1417048430
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004344 Issued in MI
Practice address
4004 W St Joseph Hwy
Lansing, MI 48917-4215
Phone
(517) 321-1154
Fax
(517) 321-2652
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004344 MI Primary

Addresses

Primary practice location

4004 W St Joseph Hwy
Lansing, MI 48917-4215

Mailing address

4004 W St Joseph Hwy
Lansing, MI 48917-4215
Phone (517) 321-1154

Other identifiers 1

IdentifierTypeStateIssuer
2200298OtherPHYSICIANS HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20051230000360 MI Practitioner - Optometry 5799707915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard F Rule OD PLLCGroup PAC ID 6901828110, 4 clinicians

Practice addresses (Care Compare)

6409 Centurion Dr
Lansing, MI 48917-9259
Phone (517) 321-1154

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901004344MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard F Rule OD PLLC Optometrist CurrentSince Oct 18, 2005 Accepting new patients
Mid Michigan Eye Care Center, PC Optometrist Past Accepting new patients

Locations

6409 Centurion Dr
Lansing, MI 48917
Phone (248) 871-1234

4004 W St Joe Hwy
Lansing, MI 48917
Phone (517) 321-1154

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1417048430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4004 W ST JOSEPH HWY",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489174215",
            "telephone_number": "517-321-1154",
            "fax_number": "517-321-2652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 W ST JOSEPH HWY",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489174215",
            "telephone_number": "517-321-1154",
            "fax_number": "517-321-2652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEISSEL",
        "first_name": "BRIAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS HEALTH PLAN",
            "identifier": "2200298",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.