Active NPI
Cassie Beard, OD
- Optometrist
- Saint Peters, MO
National Provider Identifier
1497325229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2021023306
- Practice address
- 304 Mid Rivers Ctr
Saint Peters, MO 63376-4303 - Phone
- (636) 278-2266
- NPI assigned
- Jun 24, 2021
- 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 | 2021023306 | MO | Primary |
Addresses
Primary practice location
304 Mid Rivers Ctr
Saint Peters, MO 63376-4303
Mailing address
304 Mid Rivers Ctr
Saint Peters, MO 63376-4303
Phone (636) 278-2266
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021023306 | MO | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624492800000",
"number": "1497325229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 MID RIVERS CTR",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633764303",
"telephone_number": "636-278-2266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 MID RIVERS CTR",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633764303",
"telephone_number": "636-278-2266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEARD",
"first_name": "CASSIE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-24",
"last_updated": "2021-06-24",
"certification_date": "2021-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2021023306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.