R Dean Beddow, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

01816TG Issued in TX

Practice address

3408 Olsen Blvd
Amarillo, TX 79109-3017

Phone

(806) 355-5633

Fax

(806) 355-9133

NPI assigned

Mar 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

University of Houston - College of Optometry, 1966

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Broome Professionals PAGroup PAC ID 0143495051, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Broome Professionals PA

  • Eyewear Supplier
  • Amarillo, TX
  • NPI 1952581670

  Optometrist

  Medicare reassignment Care Compare group NPD
• Panhandle Eye Group, LLP

  • Ophthalmology Physician
  • Amarillo, TX
  • NPI 1760571723
  NPD (past)

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1629046230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 OLSEN BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791093017",
            "telephone_number": "806-355-5633",
            "fax_number": "806-355-9133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 OLSEN BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791093017",
            "telephone_number": "806-355-5633",
            "fax_number": "806-355-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDDOW",
        "first_name": "R",
        "middle_name": "DEAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "01816TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112473701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "83132Q",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chad Beavers, LPC
• Desiree Marie Becerra
• Richard H Bechtol, MD
• Jacob Ray Beck, CRNA
• Andrea Marie Beckworth, P.T.
• Bee Well Pharmacy Corporation
• Beedy Sleep Clinic, PLLC
• Kyla Marie Beedy, FNP-C
• Rasha N Beg, M.D.
• Daniel Andrew Beggs, M.D.

• Optometrist in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.