Edward C. Beiter, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3054-352 Issued in OH

Legal business name

EDWARD C. BEITER, O.D.

Practice address

100 Walmart Dr
Vision Center
Jackson, OH 45640-8692

Phone

(740) 288-2718

Fax

(740) 288-2720

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Edward C Beiter, O.D.NPI 1871502013

Title

Owner

Phone

(740) 288-2718

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward C Beiter, O.D.

  • Optometrist
  • Jackson, OH
  • NPI 1871502013
  NPD (past) Authorized official

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1679624332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11420 STATE ROUTE 776",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456408907",
            "telephone_number": "740-286-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WALMART DR",
            "address_2": "VISION CENTER",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456408692",
            "telephone_number": "740-288-2718",
            "fax_number": "740-288-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD C. BEITER, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "BEITER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-288-2718",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3054-352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1871502013",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0280235",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lorraine Duncan, CNP
• Alexis S Dunn, LISW
• Nirmal K Dutta, MD
• Erica Eades
• Joanne Easter, RN
• Lisa Ehman-Chapman, CNP
• Elevate Therapy, LLC
• Elliott Chiropractic Inc.
• Deborah Elliott, DC
• Mandy Elliott

• All providers in Jackson, OH
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.