Paul R Beckwith, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

02154TG Issued in TX

Practice address

1617 Meyer St
Sealy, TX 77474-3925

Phone

(979) 627-7400

Fax

(979) 627-7404

NPI assigned

Aug 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

University of Houston - College of Optometry, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Austin County Eye Associates PAGroup PAC ID 0446211437, 2 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 and National Provider Directory roles.

• Austin County Eye Associates PA

  • Optometrist
  • Sealy, TX
  • NPI 1235270299
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304467200000",
    "number": "1720192446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 MEYER ST",
            "city": "SEALY",
            "state": "TX",
            "postal_code": "774743925",
            "telephone_number": "979-627-7400",
            "fax_number": "979-627-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 MEYER ST",
            "city": "SEALY",
            "state": "TX",
            "postal_code": "774743925",
            "telephone_number": "979-627-7400",
            "fax_number": "979-627-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKWITH",
        "first_name": "PAUL",
        "middle_name": "R",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2011-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "02154TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019310401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "80802Q",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashgrove Behavior Consulting PLLC
• Austin County Eye Associates PA
• Austin RX Pharmacy LLC
• Charles Everett Bechtel, P.T., M.S.
• Emily Nicole Becker, O.D.
• Bellville Isd
• Kendra Janel Ben
• Anjana Bhakta, O.D.
• Bonnie Irene Bolten, LVN
• Barbara Jo Brandes, PHD, LCSW, LSOTP

• Optometrist in Sealy, TX
• Providers in Sealy, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.