Brooke Taylor Beall, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1512 Issued in NE

Practice address

570 Fallbrook Blvd Ste 108
Lincoln, NE 68521-9025

Phone

(402) 742-0399

Fax

(027) 420-4954

NPI assigned

May 12, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

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

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clear Vision Eye Care, P.C.Group PAC ID 2466531611, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Clear Vision Eye Care, P.C.

  • Optometrist
  • Lincoln, NE
  • NPI 1891982781
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1720600893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 FALLBROOK BLVD STE 108",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685219025",
            "telephone_number": "402-742-0399",
            "fax_number": "027-420-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 FALLBROOK BLVD STE 108",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685219025",
            "telephone_number": "402-742-0399",
            "fax_number": "027-420-4954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 O St Ste A",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685101510",
            "country_code": "US",
            "telephone_number": "402-475-9113",
            "fax_number": "402-475-8084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEALL",
        "first_name": "BROOKE",
        "middle_name": "TAYLOR",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-12",
        "last_updated": "2021-02-22",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41600",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dominick Giovanni Beackley
• Megan C Beadle, PA-C
• Jeramie Beahm
• Lakyndra Belle Beahr-Santos
• Tina Marie Beal
• Bryan James Beals, MD
• Megan Eileen Beals
• Roberta A Beals
• Kenzie Beam
• Nickole Beaman, LPN

• Optometrist in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.