Beulah Vision PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

403 Issued in ND

Legal business name

BEULAH VISION PC

Practice address

204 W Main St
Beulah, ND 58523

Phone

(701) 873-5251

Fax

(701) 873-2141

NPI assigned

Aug 23, 2005

Last updated

Jun 26, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael J Hammerschmidt, OD

Title

Optometrist/Owner

Phone

(701) 873-5251

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lynn Huffman, O.D.

  • Optometrist
  • Beulah, ND
  • NPI 1326591439
  Medicare reassignment Care Compare group NPD
• Mikel L. Mettler, O.D.

  • Optometrist
  • Beulah, ND
  • NPI 1841604683
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1881687010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 699",
            "city": "BEULAH",
            "state": "ND",
            "postal_code": "585230699",
            "telephone_number": "701-873-5251",
            "fax_number": "701-873-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W MAIN ST",
            "city": "BEULAH",
            "state": "ND",
            "postal_code": "58523",
            "telephone_number": "701-873-5251",
            "fax_number": "701-873-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEULAH VISION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "HAMMERSCHMIDT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "701-873-5251",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANTRA FREEDOM",
            "identifier": "595020",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410029162",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60574",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8823",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH DAKOTA VISION SERVICES",
            "identifier": "870403",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURE HORIZONS DIRECT",
            "identifier": "2203717",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "ND0003002",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Ballensky, RN
• Beulah Community Nursing Home (Knife River Care Center)
• Beulah Dental PC
• Beulah Dental Weiss PC
• Beulah Drug Company
• Nona Jo Blaisdell
• Ashley June Brinkman, PHARMD
• Jenny L Brown
• Coal Country Community Health Center
• Mataya Dostal

• Optometrist in Beulah, ND
• Providers in Beulah, ND by specialty
• Optometrist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.