Individual provider Active NPI

Nicolas Michael Beaupre, O.D.

  • Optometrist
  • Charlotte, NC
National Provider Identifier
1902199334
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2547 Issued in NC
Practice address
135 S Sharon Amity Rd Ste 100
Charlotte, NC 28211
Phone
(704) 365-0555
Fax
(704) 367-8120
NPI assigned
May 18, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2547 NC Primary

Addresses

Primary practice location

135 S Sharon Amity Rd Ste 100
Charlotte, NC 28211

Mailing address

PO Box 60160
Charlotte, NC 28260-0160
Phone (704) 365-0555

Other practice location 1

14225 S 95th Ave
Suite 453
Orland Park, IL 60462-2265
Phone (708) 361-6141

Other practice location 2

135 S Sharon Amity Rd Ste 100
Charlotte, NC 28211
Phone (704) 365-0555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20190531000089 NC Practitioner - Optometry 9537318159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizon Eye Care PAGroup PAC ID 2163484072, 26 clinicians

Practice addresses (Care Compare)

135 S Sharon Amity Rd
Suite 100
Charlotte, NC 28211-3870
Phone (704) 365-0555

Merit-based Incentive Payment System (MIPS)

Final score
90.77 of 100Reported as group
Quality
93.64
Promoting interoperability
100
Improvement activities
40
Cost
75.59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Eye Care, PA Optometrist CurrentSince Jun 3, 2019 Accepting new patients
Horizon Eye Care, PA Optometrist PastSince Jan 12, 2020 Accepting new patients
Horizon Eye Care PA Optometrist Past Accepting new patients

Locations

135 S Sharon Amity Rd
Ste 100
Charlotte, NC 28211
Phone (704) 365-0555

135 S Sharon Amity Rd
Charlotte, NC 28211
Phone (704) 365-0555

11010 David Taylor Dr
Charlotte, NC 28262
Phone (704) 717-0058

10834 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 717-0058

15419 Hodges Cir
Huntersville, NC 28078
Phone (704) 892-1000

15419 Hodges Cir
Ste 100
Huntersville, NC 28078
Phone (704) 892-1000

Interoperability endpoints

  • Direct secure messaging: nicholas.beaupre.p1@direct.horizoneye.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1902199334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60160",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600160",
            "telephone_number": "704-365-0555",
            "fax_number": "704-367-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S SHARON AMITY RD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28211",
            "telephone_number": "704-365-0555",
            "fax_number": "704-367-8120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14225 S 95th Ave",
            "address_2": "Suite 453",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604622265",
            "country_code": "US",
            "telephone_number": "708-361-6141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "135 S Sharon Amity Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "28211",
            "country_code": "US",
            "telephone_number": "704-365-0555",
            "fax_number": "704-367-8120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAUPRE",
        "first_name": "NICOLAS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-18",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.