Individual provider Active NPI

Stacy Elise Beute, OD

  • Optometrist
  • Elmwood Park, IL
National Provider Identifier
1952492647
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Practice address
7310 W North Ave Ste 2H
Elmwood Park, IL 60707-4212
Phone
(708) 456-3232
Fax
(708) 456-3371
NPI assigned
Sep 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X IL Primary

Addresses

Primary practice location

7310 W North Ave Ste 2H
Elmwood Park, IL 60707-4212

Mailing address

1728 W Roscoe St Apt 3E
Chicago, IL 60657-1082
Phone (708) 456-3232

Other identifiers 1

IdentifierTypeStateIssuer
1633693OtherILBLUE CROSS/BLUE SHIELD

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

LicenseStateTypeSpecialty
IL 046009079ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher D. Frame, LLC Optometrist Past Accepting new patients
Stacy Beute, LTD. Optometrist PastSince Sep 3, 2003 Accepting new patients
Wink Optical, Inc. Optometrist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952492647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 W ROSCOE ST APT 3E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571082",
            "telephone_number": "708-456-3232",
            "fax_number": "708-456-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7310 W NORTH AVE STE 2H",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607074212",
            "telephone_number": "708-456-3232",
            "fax_number": "708-456-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEUTE",
        "first_name": "STACY",
        "middle_name": "ELISE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "1633693",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmwood Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.