Mark Adam Beach, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4081/T348 Issued in OH

Practice address

1501 Wagner Ave
Greenville, OH 45331-2763

Phone

(937) 547-9012

Fax

(937) 547-9361

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Beach Vision LLC

  • Optometrist
  • Greenville, OH
  • NPI 1740975358

  OH, Optometrist

  Medicare reassignment NPD Authorized official

Specialty

Optometry

Education

Ohio State University - College of Optometry, 1989

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218153600000",
    "number": "1487766630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5526 AUBURN DR",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453319200",
            "telephone_number": "937-548-3732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 WAGNER AVE",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453312763",
            "telephone_number": "937-547-9012",
            "fax_number": "937-547-9361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEACH",
        "first_name": "MARK",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4081/T348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2298393",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bastrop Dialysis LLC
• Linda Kaye Batten
• William R Baumann, MSW, LISW
• Jace Baumgarte, DO
• Beach Vision LLC
• Sean K Beckley
• Joanne Beekhuizen, MSW, LISW
• Jenny Lee Beisner
• James S Bembry, MD
• Megan Bender, OTR

• All providers in Greenville, OH
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.