DR. JEREMY VAUGHN BEAM OD NPI 1790753366

NPI Information

  • NPI: 1790753366
  • Provider Name: DR. JEREMY VAUGHN BEAM, OD
  • Classification: Optometrist - 152W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 22 W MAIN ST
    WALLA WALLA, WA
    ZIP 99362
  • Phone: (509) 529-2020

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NPI Details

DR. Jeremy Vaughn Beam, OD is an optometrist in Walla Walla, WA with 21 years of experience. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. DR. Jeremy Vaughn Beam, OD NPI is 1790753366. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduation Year:2004

The provider's business location address is:

22 W MAIN ST
WALLA WALLA, WA
ZIP 99362
Phone: (509) 529-2020
Fax: (509) 529-2115

The NPI 1790753366 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Photography of the retina (HCPCS:92250)
  • Established patient complete exam of visual system (HCPCS:92014)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Imaging of optic nerve (HCPCS:92133)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Exam of visual field with extended testing (HCPCS:92083)
  • New patient complete exam of visual system (HCPCS:92004)
  • Imaging of retina (HCPCS:92134)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)

The enumeration date for this NPI number is 3/9/2006 and was last updated on 12/21/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometrist3912WASHINGTONYes
2152W00000XOptometrist2979TOREGONNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10323400001OTHERMC SUPPLY CIGNA DMERC
28886644808OTHERCOMMUNITY HEALTH PLAN WA
37666593OTHERAETNA
4610605300OTHERDEPT OF LABOR SEATTLE DFE
5022886006OTHERREGENCE OREGON
6910940489OTHERCOMERCIAL CLAIMS
70190335OTHERDEPT OF LABOR & INDUSTRY
82029635MEDICAIDWASHINGTON
92576OTHERGROUP HEALTH
105485BEOTHERREGENCE WASHINGTON
11P00251501OTHERTRAVELERS MEDICARE RETIRE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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