Organization Active NPI

Beacon Vision Center PLLC

  • Low Vision Rehabilitation Optometrist
  • Farmers Branch, TX
National Provider Identifier
1942087739
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
Legal business name
BEACON VISION CENTER PLLC
Practice address
1801 Valley View LN
Farmers Branch, TX 75234-8906
Phone
(214) 420-5090
Fax
(214) 420-5091
NPI assigned
Sep 13, 2023
Last updated
Oct 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Authorized official

Name
Amy Burcham, DONPI 1023637360
Title
Owner
Phone
(214) 420-5090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation Optometrist 152WL0500X NU Primary

Addresses

Primary practice location

1801 Valley View LN
Farmers Branch, TX 75234-8906

Mailing address

1801 Valley View LN
Farmers Branch, TX 75234-8906
Phone (214) 420-5090

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240112004145 TX Part B Supplier - Clinic/Group Practice 7012369101 Receives reassigned benefits from 1 practitioner
Practice locations: Farmers Branch, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1942087739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 VALLEY VIEW LN",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752348906",
            "telephone_number": "214-420-5090",
            "fax_number": "214-420-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 VALLEY VIEW LN",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752348906",
            "telephone_number": "214-420-5090",
            "fax_number": "214-420-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON VISION CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-13",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "BURCHAM",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-420-5090",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmers Branch, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.