Shale Beharie

Primary specialty

OptometristTaxonomy code 152W00000X

License

3019 Issued in MD

Practice address

11110 Mall Cir
Waldorf, MD 20603-1800

Phone

(301) 705-8383

NPI assigned

Jul 17, 2024

Last updated

Jul 17, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

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.

• Visionworks, Inc.

  dba Visionworks

  • Optometrist
  • Catonsville, MD
  • NPI 1104847912
  Medicare reassignment NPD
• Visionworks Inc.

  dba Visionworks

  • Eyewear Supplier
  • California, MD
  • NPI 1265971477
  NPD (past)

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1811735574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10624 ASHFORD CIR",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206033202",
            "telephone_number": "520-343-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 MALL CIR",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206031800",
            "telephone_number": "301-705-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHARIE",
        "first_name": "SHALE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "3019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daijah Beaner
• Laura Bearjar
• James William Beauchamp, D.C.
• Jeanne Camille Beauchamp, ARNP
• Jordan Bebber, PA-C
• Behavioral Health Affiliates LLC
• Kristen Marie Belger, DMD
• Ebony Belt
• Belvonae Health & Wellness LLC (MEtime Psychiatry & Co.)
• Camille Benedict, LCSW-C

• Optometrist in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.