Individual provider Active NPI

James W Beisheim Jr., OD

  • Optometrist
  • Rochester, NY
National Provider Identifier
1689632473
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT0047531 Issued in NY
Practice address
800 Carter Street
Wilson Health Center
Rochester, NY 14621
Phone
(585) 338-1400
Fax
(585) 336-4845
NPI assigned
May 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X VUT0047531 NY Primary

Addresses

Primary practice location

800 Carter Street
Wilson Health Center
Rochester, NY 14621

Mailing address

800 Carter Street
Attn: Kelly Steele
Rochester, NY 14621
Phone (585) 339-4793

Other identifiers 2

IdentifierTypeStateIssuer
MDH901OtherNYPREFERRED CARE
00355266MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050225000606 NY Practitioner - Optometry 1254384597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
VUT0047531NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Steve B. Park, MD PC Optometrist CurrentSince Sep 1, 2008 Accepting new patients
Steve B. Park, MD PC Optometrist CurrentSince Sep 1, 2008 Accepting new patients

Locations

2300 Buffalo Rd
Bldg 700
Rochester, NY 14624
Phone (585) 254-2260

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689632473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CARTER STREET",
            "address_2": "ATTN: KELLY STEELE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14621",
            "telephone_number": "585-339-4793",
            "fax_number": "585-336-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CARTER STREET",
            "address_2": "WILSON HEALTH CENTER",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14621",
            "telephone_number": "585-338-1400",
            "fax_number": "585-336-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEISHEIM",
        "first_name": "JAMES",
        "middle_name": "W",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT0047531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "MDH901",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00355266",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.