Individual provider Active NPI

Nicole M. Beckish, O.D.

  • Low Vision Rehabilitation Optometrist
  • Scranton, PA
National Provider Identifier
1518938430
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
License
OEG000743 Issued in PA
Practice address
81 Viewmont Mall
Sears Optical
Scranton, PA 18508-1360
Phone
(570) 344-6911
NPI assigned
Jan 30, 2006
Last updated
Nov 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation Optometrist 152WL0500X OEG000743 PA Primary

Addresses

Primary practice location

81 Viewmont Mall
Sears Optical
Scranton, PA 18508-1360

Mailing address

618 State Route 690
Spring Brook Township, PA 18444-6512
Phone (570) 877-1047

Other identifiers 4

IdentifierTypeStateIssuer
2652230OtherPAAETNA INSURANCE
68841OtherPAGEISINGER INSURANCE
817607OtherPAFIRST PRIORITY INSURANCE
BE1769322OtherPABLUE SHIELD INSURANCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040820000287 PA Practitioner - Optometry 0941274559 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Schoonover Eye Care, P.C. CurrentSince Dec 1, 2021 Accepting new patients
Luxottica of America Inc Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1518938430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 STATE ROUTE 690",
            "city": "SPRING BROOK TOWNSHIP",
            "state": "PA",
            "postal_code": "184446512",
            "telephone_number": "570-877-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 VIEWMONT MALL",
            "address_2": "SEARS OPTICAL",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185081360",
            "telephone_number": "570-344-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKISH",
        "first_name": "NICOLE",
        "middle_name": "M.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "PA",
            "license": "OEG000743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INSURANCE",
            "identifier": "2652230",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER INSURANCE",
            "identifier": "68841",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY INSURANCE",
            "identifier": "817607",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD INSURANCE",
            "identifier": "BE1769322",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.