Individual provider Active NPI

William Richard Beyer Jr., O.D.

  • Optometrist
  • Mercerville, NJ
National Provider Identifier
1952468761
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00411600 Issued in NJ
Practice address
395 Highway 33
Mercerville, NJ 08619-4401
Phone
(609) 586-0273
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00411600 NJ Primary

Addresses

Primary practice location

395 Highway 33
Mercerville, NJ 08619-4401

Mailing address

395 Highway 33
Mercerville, NJ 08619-4401
Phone (609) 586-0273

Other identifiers 2

IdentifierTypeStateIssuer
051275001OtherNJDMERC SUPPLIER #
1952468761OtherNJNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050803000092 NJ Practitioner - OptometryPractitioner - Ophthalmology 6901834654 Receives reassigned benefits from 2 practitioners
Practice locations: Mercerville, NJ; Millstone, NJ

Care Compare profile

Medicare Care Compare
Specialty
OptometryAlso: Ophthalmology
Education
Pennsylvania College of Optometry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

498 Monmouth Rd
Millshore TWSP, NJ 08510-1239
Phone (609) 259-2221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mark W Beyer LLC CurrentSince Aug 1, 2016 Accepting new patients
William R Beyer Jr Optometrist PastSince Jan 1, 1989 Accepting new patients

Locations

498 Monmouth Rd
Millstone Township, NJ 08510
Phone (609) 259-2221

395 Route 33
Trenton, NJ 08619
Phone (609) 586-0273

11 Friends Ln
Ste 101A
Newtown, PA 18940
Phone (215) 364-3722

Interoperability endpoints

  • Direct secure messaging: wbeyer@beyereye.direct.eyemdemr.com

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422316800000",
    "number": "1952468761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 HIGHWAY 33",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086194401",
            "telephone_number": "609-586-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 HIGHWAY 33",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086194401",
            "telephone_number": "609-586-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEYER",
        "first_name": "WILLIAM",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2015-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00411600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC SUPPLIER #",
            "identifier": "051275001",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1952468761",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercerville, NJ

Sources for this page

Verify at the official NPI Registry.