Individual provider Active NPI

Evan Clark Beus, OD

  • Optometrist
  • Yakima, WA
National Provider Identifier
1902387574
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD60862626 Issued in WA
Practice address
303 S 72ND Ave
Yakima, WA 98908-1661
Phone
(509) 654-9256
NPI assigned
Aug 22, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD60862626 WA Primary

Addresses

Primary practice location

303 S 72ND Ave
Yakima, WA 98908-1661

Mailing address

808 W Oie Hwy
Benton City, WA 99320-7696
Phone (509) 303-1031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20230712001802 WA Practitioner - Optometry 5193185924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2410 Terrace Heights Dr
Suite B
Yakima, WA 98901-1403
Phone (509) 966-0675

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD60862626WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Associates Yakima PLLC Optometrist Current Accepting new patients
Evan Beus OD PLLC Optometrist CurrentSince Mar 16, 2023 Accepting new patients

Locations

2410 Terrace Heights Dr
Yakima, WA 98901

2410 Terrace Heights Dr
Ste B
Yakima, WA 98901
Phone (509) 966-0675

Organizations & group practices 2

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": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1902387574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 W OIE HWY",
            "city": "BENTON CITY",
            "state": "WA",
            "postal_code": "993207696",
            "telephone_number": "509-303-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S 72ND AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989081661",
            "telephone_number": "509-654-9256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEUS",
        "first_name": "EVAN",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60862626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.