Individual provider Active NPI

Andrew Thomas Beuker, O.D.

  • Optometrist
  • Walker, MI
National Provider Identifier
1649534983
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004723 Issued in MI
Practice address
3576 Alpine Ave NW
Walker, MI 49544-1659
Phone
(616) 784-4999
Fax
(616) 784-7999
NPI assigned
Jul 2, 2012
Last updated
Apr 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004723 MI Primary

Addresses

Primary practice location

3576 Alpine Ave NW
Walker, MI 49544-1659

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20150616002086 MI Practitioner - Optometry 2769793884 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Michigan, LLC Optometrist CurrentSince May 3, 2021 Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist CurrentSince May 3, 2021 Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist Current Accepting new patients

Locations

1858 Breton Rd SE
Grand Rapids, MI 49506
Phone (616) 949-9660

2000 E Beltline Ave NE
Grand Rapids, MI 49525
Phone (616) 608-0466

3083 28th St SE
Grand Rapids, MI 49512
Phone (616) 949-8974

6749 Cascade Rd SE
Grand Rapids, MI 49546
Phone (616) 957-3099

800 S Brown St
Jackson, MI 49203
Phone (517) 787-8890

381 Baldwin St
Jenison, MI 49428
Phone (616) 457-4443

5349 W Main St
Kalamazoo, MI 49009
Phone (269) 349-7627

1421 S 11th St
Niles, MI 49120
Phone (269) 684-1330

507 E Division St
Rockford, MI 49341
Phone (616) 866-3933

3576 Alpine Ave NW
Walker, MI 49544
Phone (616) 784-4999

4482 Lake Michigan Dr NW
Walker, MI 49534
Phone (616) 791-6944

1717 28th St SW
Wyoming, MI 49519
Phone (616) 531-4370

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 3

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": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1649534983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3576 ALPINE AVE NW",
            "city": "WALKER",
            "state": "MI",
            "postal_code": "495441659",
            "telephone_number": "616-784-4999",
            "fax_number": "616-784-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEUKER",
        "first_name": "ANDREW",
        "middle_name": "THOMAS",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-02",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walker, MI

Sources for this page

Verify at the official NPI Registry.