Marsha D Beckham, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002906 Issued in GA

Practice address

270 Hawthorne Ave
Athens, GA 30606-2881

Phone

(706) 543-3599

Fax

(706) 543-8681

NPI assigned

Oct 16, 2006

Last updated

Jan 17, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2000

Medicare assignment

May accept Medicare assignment

Group practices

Russell D. Springer PCGroup PAC ID 5698987790, 5 clinicians

East Athens Family Vision LLCGroup PAC ID 0244643211, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• East Athens Family Vision, LLC

  • Optometrist
  • Athens, GA
  • NPI 1639775588
  Medicare reassignment Care Compare group NPD
• Russell D Springer PC

  dba Athens Family Vision Clinic

  • Optometrist
  • Athens, GA
  • NPI 1841593175
  Medicare reassignment Care Compare group NPD
• Leonard Hughes Co Inc

  dba Webster Vision Center

  • Optometrist
  • Saint Louis, MO
  • NPI 1275671588
  NPD (past) Authorized official
• Russell D Springer, P.C.

  dba Athens Family Vision Clinic

  • Medical Specialty Clinic/Center
  • Athens, GA
  • NPI 1780851170
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1699855510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 HAWTHORNE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062881",
            "telephone_number": "706-543-3599",
            "fax_number": "706-543-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 HAWTHORNE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062881",
            "telephone_number": "706-543-3599",
            "fax_number": "706-543-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKHAM",
        "first_name": "MARSHA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2000164540",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "315306019",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frances E. Beall
• Asmaa M Beasley
• Ellen Collier Beasley, M.ED., CCC-SLP
• Taylor Beauchamp, OTR/L
• David J Beck, P.T.
• Lynn Beckmann, NP-C
• Allison Michelle Beckum, PHARM D.
• Papa Kwame Antwi Beeko, MD
• Madison Stephens Begitschke, RN
• William C Beguhn

• Optometrist in Athens, GA
• Providers in Athens, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.