Individual provider Active NPI

Steven Gus Beals, O.D.

  • Optometrist
  • Montevideo, MN
National Provider Identifier
1598981995
Registry record updated Dec 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2174 Issued in IL
Practice address
209 N 1St St
Montevideo, MN 56265-1403
Phone
(320) 269-6822
Fax
(320) 269-6115
NPI assigned
Apr 17, 2007
Last updated
Dec 20, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2174 IL Primary

Addresses

Primary practice location

209 N 1St St
Montevideo, MN 56265-1403

Mailing address

209 N 1St St
P O Box 218
Montevideo, MN 56265-1403
Phone (320) 269-6822

Other identifiers 2

IdentifierTypeStateIssuer
5C001BEOtherMNBLUE CROSS BLUE SHIELD
59851BEOtherMNBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20050928000567 MN Practitioner - Optometry 9830124999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

209 N 1St St
Montevideo, MN 56265-0218
Phone (320) 269-6822

209 N 1St St
Montevideo, MN 56265-1403

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2174ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Steven G Beals OD PA Optometrist CurrentSince Jan 1, 2005 Accepting new patients

Locations

209 N 1st St
Montevideo, MN 56265
Phone (320) 269-6822

Organizations & group practices 1

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292803200000",
    "number": "1598981995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 N 1ST ST",
            "address_2": "P O BOX 218",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562651403",
            "telephone_number": "320-269-6822",
            "fax_number": "320-269-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 N 1ST ST",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562651403",
            "telephone_number": "320-269-6822",
            "fax_number": "320-269-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEALS",
        "first_name": "STEVEN",
        "middle_name": "GUS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2010-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "2174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5C001BE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "59851BE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montevideo, MN

Sources for this page

Verify at the official NPI Registry.