Active NPI
Tracy J. Beyer, O.D.
- Optometrist
- Panama City Beach, FL
National Provider Identifier
1881762557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- FL3414
- Practice address
- 11570 Panama City Beach Pkwy
Panama City Beach, FL 32407 - Phone
- (850) 230-4433
- NPI assigned
- Dec 1, 2006
- Last updated
- Aug 7, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | FL3414 | FL | Primary |
| Optometrist | 152W00000X | KY1634 | KY |
Addresses
Primary practice location
11570 Panama City Beach Pkwy
Panama City Beach, FL 32407
Mailing address
7008 Starfish CT.
Panama City Beach, FL 32407
Phone (850) 387-5355
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FL3414 | FL | MD | Optometrist |
| KY1634 | KY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Eyes Cataract and Laser Center, Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Southern Eye Group of Alabama
- Optometrist
- Fairhope, AL
- NPI 1396884227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344297600000",
"number": "1881762557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7008 STARFISH CT.",
"city": "PANAMA CITY BEACH",
"state": "FL",
"postal_code": "32407",
"telephone_number": "850-387-5355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11570 PANAMA CITY BEACH PKWY",
"city": "PANAMA CITY BEACH",
"state": "FL",
"postal_code": "32407",
"telephone_number": "850-230-4433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEYER",
"first_name": "TRACY",
"middle_name": "J.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2012-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "FL3414",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "KY1634",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panama City Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.