Active NPI
David Beisiegel, OD
- Optometrist
- Corvallis, OR
National Provider Identifier
1730436270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2795ATI
- Practice address
- 1505 NW Harrison Blvd
Corvallis, OR 97330-5816 - Phone
- (541) 754-6222
- Fax
- (541) 757-2055
- NPI assigned
- Aug 14, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2795ATI | OR | Primary |
Addresses
Primary practice location
1505 NW Harrison Blvd
Corvallis, OR 97330-5816
Mailing address
1505 NW Harrison Blvd
Corvallis, OR 97330-5816
Phone (541) 754-6222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Lovercheck & Associates PC | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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": "1344902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344902400000",
"number": "1730436270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 NW HARRISON BLVD",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973305816",
"telephone_number": "541-754-6222",
"fax_number": "541-757-2055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 NW HARRISON BLVD",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973305816",
"telephone_number": "541-754-6222",
"fax_number": "541-757-2055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEISIEGEL",
"first_name": "DAVID",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-14",
"last_updated": "2012-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "2795ATI",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.