Siobhan Mary O'Carroll, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2814-035 Issued in WI

Practice address

2720 Golf Rd
Eau Claire, WI 54701-8011

Phone

(715) 318-0906

Fax

(715) 800-2017

NPI assigned

Aug 18, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Siobhan Mary Beeksma Former name

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: siobhan.beeksma@direct.revolutionehr.com

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.

• Espy Specs SC

  • Optometrist
  • Eau Claire, WI
  • NPI 1104473537
  Medicare reassignment NPD

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1558353383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 GOLF RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547018011",
            "telephone_number": "715-318-0906",
            "fax_number": "715-800-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 GOLF RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547018011",
            "telephone_number": "715-318-0906",
            "fax_number": "715-800-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CARROLL",
        "first_name": "SIOBHAN",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2814-035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIOBHAN",
            "last_name": "BEEKSMA",
            "middle_name": "MARY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Andrew Nye, MD
• Amber Nyen, LMT
• Derek Nystrom, PTA
• Rebecca Nystrom
• Elizabeth A O'Brien, LCSW, LPC
• Deaglan F O'Cochlain, M.D.
• Brittany Ann O'Connell
• Janice Susan O'Connor, M.S.W., L.C.S.W.
• Timothy J O'Connor, M.D.
• Nicole O'Donnell, APNP, FNP-BC

• Optometrist in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.