Individual provider Active NPI

Susan C Beachler, OD

  • Optometrist
  • Carthage, NC
National Provider Identifier
1689681652
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1253 Issued in NC
Practice address
101 Monroe PL
Carthage, NC 28327-9784
Phone
(910) 947-7740
Fax
(910) 947-7742
NPI assigned
Aug 2, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1253 NC Primary

Addresses

Primary practice location

101 Monroe PL
Carthage, NC 28327-9784

Mailing address

PO Box 875
Carthage, NC 28327-0875
Phone (910) 947-7740

Other practice location 1

11088 N US Hwy 15 501 Unit 925
Aberdeen, NC 28315-2378
Phone (910) 693-1226

Other identifiers 2

IdentifierTypeStateIssuer
09950OtherNCBCBS
8909950MedicaidNC

Other names 1

  • Dr. Susan C Bailey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20060405000695 NC Practitioner - Optometry 6002864162 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Texas Medical School at Houston, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11088 US Hwy 15 501 925
Aberdeen, NC 28315-2378
Phone (910) 693-1226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1253NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of North Carolina, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Jul 21, 2019 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Jul 21, 2019 Accepting new patients
Vision One Eye Center OD PA Optometrist CurrentSince Dec 1, 2015 Accepting new patients
Owens Eyecare Center Inc Optometrist Past Accepting new patients
Spectrum Family Eye Center Optometric PA Optometrist Past Accepting new patients

Locations

11088 US 15 501 Hwy
Unit 925
Aberdeen, NC 28315
Phone (910) 693-1226

1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332

326 Glensford Dr
Ste 108
Fayetteville, NC 28314
Phone (910) 864-6070

2805 S Horner Blvd
Sanford, NC 27332
Phone (919) 776-1012

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 6

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1689681652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 875",
            "city": "CARTHAGE",
            "state": "NC",
            "postal_code": "283270875",
            "telephone_number": "910-947-7740",
            "fax_number": "910-947-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MONROE PL",
            "city": "CARTHAGE",
            "state": "NC",
            "postal_code": "283279784",
            "telephone_number": "910-947-7740",
            "fax_number": "910-947-7742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11088 N US Hwy 15 501 Unit 925",
            "address_purpose": "LOCATION",
            "city": "Aberdeen",
            "state": "NC",
            "postal_code": "283152378",
            "country_code": "US",
            "telephone_number": "910-693-1226",
            "fax_number": "910-692-8983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEACHLER",
        "first_name": "SUSAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2023-03-07",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09950",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909950",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "BAILEY",
            "middle_name": "C",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carthage, NC

Sources for this page

Verify at the official NPI Registry.