Edward C Beiter, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3054-352 Issued in OH

Practice address

100 Walmart Dr
Jackson, OH 45640-8692

Phone

(740) 288-2718

Fax

(740) 288-2720

NPI assigned

Aug 5, 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 1, 2017 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Edward C. Beiter, O.D.

  • Optometrist
  • Jackson, OH
  • NPI 1679624332
  NPD (past) Authorized official
• Jason Pittser OD Inc.

  • Optometrist
  • Wilmington, OH
  • NPI 1306925672
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1871502013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11420 STATE ROUTE 776",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456408907",
            "telephone_number": "740-286-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WALMART DR",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456408692",
            "telephone_number": "740-288-2718",
            "fax_number": "740-288-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEITER",
        "first_name": "EDWARD",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3054-352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PCAN#",
            "identifier": "0428896",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Barrett, RN
• Tammy L Batey
• Mario Bautista, MD
• Clifford Beatty
• Dianna L Beck, FNP
• Mary Anne Bender
• Tiffany Renee Benner
• Jamie L Bennett, CDCA.169712
• Richard Harris Billman II, OD
• Bio-Medical Applications of Ohio Inc

• All providers in Jackson, OH
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.