Cynthia Lais Beauchamp, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

M2557 Issued in TX

Practice address

8222 Douglas Ave
Ste 400
Dallas, TX 75225-5923

Phone

(214) 369-6434

Fax

(214) 696-6273

NPI assigned

Apr 26, 2007

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 identifiers 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Northwestern University Feinberg Medical School, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pediatric Ophthalmology PAGroup PAC ID 9739147158, shared by 2 NPIs, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Pediatric Ophthalmology PA

  • Ophthalmology Physician
  • Dallas, TX
  • NPI 1114050242
  Medicare reassignment NPD Authorized official
• Pediatric Ophthalmology PA

  • Ophthalmology Physician
  • Grapevine, TX
  • NPI 1619195047
  Medicare reassignment NPD

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226620800000",
    "number": "1639399504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8222 DOUGLAS AVE",
            "address_2": "STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255923",
            "telephone_number": "214-369-6434",
            "fax_number": "214-696-6273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8222 DOUGLAS AVE",
            "address_2": "STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255923",
            "telephone_number": "214-369-6434",
            "fax_number": "214-696-6273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUCHAMP",
        "first_name": "CYNTHIA",
        "middle_name": "LAIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2008-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "M2557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8AQ941",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beati LLC
• Hannah Beattie, LCSW
• Janet Beattie, OT
• Regan Elizabeth Beaty
• Macey Lee Beauboeuf, CCC- SLP
• Elizabeth Cruz Beauchamp, SLP
• Celynne Joelle Beaudoin
• Londyn Christopher Beaudoin
• Rebecca Beaupre
• Beauty Bar Aesthetics and Wellness

• Ophthalmology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; 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.