DR. ANDREA M. BEATTY (NPI# 1093908329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093908329 |
Entity Type | Individual |
Full Name | DR. ANDREA M. BEATTY |
Credential | O.D. |
Practice Address |
16202 Midland Dr Shawnee KS 66217-9535 |
Practice Telephone | 9139622010 |
Practice Fax Number | 9139622013 |
Mailing Telephone | 9139622010 |
Mailing Fax Number | 9139622013 |
Enumeration Date | 2007-08-21 |
Last Update Date | 2013-12-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
1601 | KS | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | BLUE CROSS BLUE SHIELD MO | 30585025 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548735301 | Andrea Marie Beatty | Social Worker | 262 Conklin Ave, Binghamton, NY 13903-2308 | 2018-10-09 |
1790201655 | Andrea Beatty | Nurse Practitioner | 1419 Superior Ave Ste 1, Newport Beach, CA 92663-2723 | 2017-08-22 |
Street Address |
16202 MIDLAND DR |
City | SHAWNEE |
State | KS |
Zip Code | 66217-9535 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598746844 | Eric Scott Beatty | Optometrist | 16202 Midland Dr, Shawnee, KS 66217-9535 | 2005-11-11 |
1023178407 | Westglen Eyecare Pa | Optometrist | 16202 Midland Dr, Shawnee, KS 66217-9535 | 2006-12-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619438801 | Hope Bazille | Behavioral Analyst | 17210 Midland Dr, Shawnee, KS 66217 | 2019-03-29 |
1023574126 | Andrea Corrales | Behavioral Analyst | 17210 Midland Drive, Shawnee, KS 66217 | 2019-02-13 |
1164824744 | Amy M Brettman | Internal Medicine | 7230 Renner Road, Shawnee, KS 66217 | 2014-09-25 |
1811232622 | U.S. Pt Therapy Services Inc. | Physical Therapist | 7448 West Frontage Road, Merriam, KS 66217 | 2012-12-05 |
1508179193 | Capstone Dentistry, LLC | Clinic/Center | 17212 Midland Dr, Shawnee, KS 66217 | 2010-07-23 |
1417014010 | Jo Jeanne Callaway | Psychiatry & Neurology | 5400 Lackman Road, Shawnee, KS 66217 | 2007-01-02 |
1316009111 | Eye Associates of Shawnee Pa | Optometrist | 15951 W 65th St, Shawnee, KS 66217 | 2006-12-15 |
1255492633 | Stephanie Lynn Caldwell | Physician Assistant | 7405 Renner Road, Shawnee, KS 66217 | 2006-12-12 |
1215029392 | George J Bures Jr. | Family Medicine | 7255 Renner Rd., Shawnee, KS 66217 | 2006-09-28 |
1790719276 | Minnie J Baldridge | Audiologist | 15939 W 65th St, Shawnee, KS 66217 | 2006-07-10 |
Find all providers in zip 66217 |
Taxonomy Code | 152WC0802X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Specialization | Corneal and Contact Management |
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396253191 | Tyler Young, O.d., P.a. | Optometrist | 12129 Shawnee Mission Pkwy, Shawnee, KS 66216 | 2018-01-14 |
1922314137 | Laura E Toren | Optometrist | 11005 W 60th St Ste 210, Shawnee, KS 66203-2789 | 2010-08-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497382204 | Limestone Eye Care LLC | Optometrist | 4320 W 6th Street, Suite 103, Lawrence, KS 66049 | 2020-03-24 |
1831603307 | Fairway Eye Center In Leawood Inc. | Optometrist | 11707 Roe Ave Ste A, Leawood, KS 66211-2601 | 2017-11-20 |
1609185693 | Paul A Kusy | Optometrist | 12201 Westgate St, Overland Park, KS 66213-2270 | 2010-09-24 |
1619150984 | Eye Care Associates of Manhattan, P.a. | Optometrist | 1640 Charles Pl Ste 103, Manhattan, KS 66502-2868 | 2007-12-10 |
1194910869 | Kater Optometric Services LLC | Optometrist | 1211 W Maple, Suite 125, Wichita, KS 67235-8756 | 2007-09-06 |
1396960209 | Dr. Richard Marks | Optometrist | 1626 E Madison Ave, Derby, KS 67037-2076 | 2007-04-16 |
1407929540 | M J Fulton | Optometrist | 250 E Tucker Rd Ste B, Liberal, KS 67901-2188 | 2006-11-16 |
1205911260 | Paul Alan Klenklen | Optometrist | 7701 Frontage Rd Ste A, Overland Park, KS 66204-2364 | 2006-10-26 |
1528160058 | Jury, Farrar and Associates, Doctors of Optometry, Pa | Optometrist | 2381 N Kansas Ave, Liberal, KS 67901-2055 | 2006-09-04 |
1386607232 | Sean M Powell | Optometrist | 10123 Cherry Lane, Lenexa, KS 66220 | 2006-04-11 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.