BEAUMONT RETINA CONSULTANT PA – NPI #1114108677
Ophthalmology

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

BEAUMONT RETINA CONSULTANT PA is an ophthalmologist located in BEAUMONT, TX. NPPES has assigned the NPI number 1114108677 to BEAUMONT RETINA CONSULTANT PA on November 26, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207W00000X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology.

The NPI profile was previously updated about 18 years ago on Jun 26, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BEAUMONT RETINA CONSULTANT PA below.

NPI Profile for
BEAUMONT RETINA CONSULTANT PA

NPI Number
1114108677
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BEAUMONT RETINA CONSULTANT PA
Primary location
740 HOSPITAL DR
SUITE 200
BEAUMONT, TX 77701-4664
Phone: (409) 832-8883 Fax: (409) 833-5755
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GRAHAM AVERY
OWNER
Phone: (409) 832-8883
Updated
Identifiers

Identifiers for BEAUMONT RETINA CONSULTANT PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDTX176154601
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207W00000X
- Ophthalmology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.