NPIMap

Organization Active NPI

Ohpntz Vision LLC

  • Optometrist
  • Beverly, MA
National Provider Identifier
1528661600
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
OHPNTZ VISION LLC
Doing business as
STACY E BEAN, OD
Practice address
40 Enon St
Beverly, MA 01915-1168
Phone
(781) 922-7120
Fax
(978) 922-5997
NPI assigned
Nov 19, 2020
Organization subpart
Yes
Parent organization
STACY E BEAN, ODAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Authorized official

Name
Dr. Stacy E Bean, ODNPI 1164498572
Title
Owner
Phone
(978) 337-9655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

40 Enon St
Beverly, MA 01915-1168

Mailing address

5 Princeton St
Peabody, MA 01960-1408
Phone (978) 337-9655

Other practice location 1

474 Lowell St
Peabody, MA 01960-1385
Phone (978) 535-3644

Other names 1

  • STACY E BEAN, OD Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210119000411 MA Part B Supplier - Clinic/Group Practice 7719390426 Receives reassigned benefits from 1 practitioner
Practice locations: Beverly, MA; Peabody, MA

National Provider Directory

National Provider Directory
Part of
Stacy Bean

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1528661600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PRINCETON ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019601408",
            "telephone_number": "978-337-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 ENON ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151168",
            "telephone_number": "781-922-7120",
            "fax_number": "978-922-5997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "474 Lowell St",
            "address_purpose": "LOCATION",
            "city": "Peabody",
            "state": "MA",
            "postal_code": "019601385",
            "country_code": "US",
            "telephone_number": "978-535-3644",
            "fax_number": "978-535-3645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OHPNTZ VISION LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STACY E BEAN, OD",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "BEAN",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-337-9655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STACY E BEAN, OD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.