Active NPI
Andrew Thomas Beuker, O.D.
- Optometrist
- Walker, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901004723
- 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, 2021
- 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 | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Michigan, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Michigan, LLC | Optometrist | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.