Active NPI
Timothy J Beatty, O.D.
- Optometrist
- Connersville, IN
National Provider Identifier
1619954294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18003060A
- Practice address
- 2045 Virginia Ave
Connersville, IN 47331-2921 - Phone
- (765) 825-0660
- Fax
- (765) 825-3075
- NPI assigned
- Dec 27, 2005
- Sex
- Male
- 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 | 18003060A | IN | Primary |
Addresses
Primary practice location
2045 Virginia Ave
Connersville, IN 47331-2921
Mailing address
PO Box 399
Richmond, IN 47375-0399
Phone (765) 962-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200289100 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040513000899 | IN | Practitioner - Optometry | 9830189752 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Whitewater Eye Centers LLC
Practice addresses (Care Compare)
1900 Chester Blvd
Richmond, IN 47374-1213
Phone (765) 962-2020
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.19 of 100
- Quality
- 96.18
- Improvement activities
- 40
- Cost
- 49.06
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whitewater Eye Centers LLC | Optometrist | Current | Accepting new patients |
| Whitewater Eye Centers LLC | Optometrist | Current | Accepting new patients |
| Whitewater Eye Centers LLC | Optometrist | Current | Accepting new patients |
Locations
2045 Virginia Ave
Connersville, IN 47331
Phone (765) 825-0660
1900 Chester Blvd
Richmond, IN 47374
Phone (765) 962-2020
Interoperability endpoints
- tbeatty@whitewater.intellechartdirect.net
Organizations & group practices 5
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.
-
- Durable Medical Equipment & Medical Supplies
- Connersville, IN
- NPI 1720211253
-
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- Greenville, OH
- NPI 1548493562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286928000000",
"number": "1619954294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 399",
"city": "RICHMOND",
"state": "IN",
"postal_code": "473750399",
"telephone_number": "765-962-2020",
"fax_number": "765-966-2975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2045 VIRGINIA AVE",
"city": "CONNERSVILLE",
"state": "IN",
"postal_code": "473312921",
"telephone_number": "765-825-0660",
"fax_number": "765-825-3075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEATTY",
"first_name": "TIMOTHY",
"middle_name": "J",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-27",
"last_updated": "2010-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18003060A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200289100",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Connersville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.