Organization Active NPI

Chad D. Beynon, O.D., P.C.

  • Optometrist
  • Watertown, SD
National Provider Identifier
1760664346
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CHAD D. BEYNON, O.D., P.C.
Practice address
905 29TH St SE
Watertown, SD 57201-9123
Phone
(605) 882-2020
NPI assigned
Dec 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Chad BeynonNPI 1528068152
Title
President
Phone
(605) 882-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X SD Primary

Addresses

Primary practice location

905 29TH St SE
Watertown, SD 57201-9123

Mailing address

905 29TH St SE
Watertown, SD 57201-9123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051215000687 SD Part B Supplier - Clinic/Group Practice 9638190846 Receives reassigned benefits from 1 practitioner
Practice locations: Watertown, SD
O20130110000652 SD DME Supplier - Physician - OptometristDME Supplier - Optician 9638190846 Practice locations: Watertown, SD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Pearle Vision905 29TH St SE, Watertown, SD 57201-9123(605) 882-3219 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 2006

National Provider Directory

National Provider Directory

Locations

1020 Junction Ave
Sturgis, SD 57785
Phone (605) 347-9117

905 29th St SE
Watertown, SD 57201
Phone (605) 882-2020

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1760664346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 29TH ST SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572019123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 29TH ST SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572019123",
            "telephone_number": "605-882-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAD D. BEYNON, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "BEYNON",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-882-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.