National Provider Identifier Database

JEREMY V BEAM, OD – NPI #1790753366
Optometrist

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.


Contact Information

JEREMY V BEAM, OD
22 W MAIN ST
WALLA WALLA, WA99362
Phone: 509-529-2020
Fax: 509-529-2115
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for JEREMY V BEAM

NPI Number 1790753366
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 03/09/2006
Last updated 12/21/2023 - About 2 years ago
Sole proprietor1 No
Identifiers
  • OR License #: 2979T
  • WA License #: 3912
  • WA Medicaid: 2029635
  • Other: 7666593 AETNA
  • Other: 910940489 COMERCIAL CLAIMS
  • Other: 8886644808 COMMUNITY HEALTH PLAN WA
  • Other: 0190335 DEPT OF LABOR & INDUSTRY
  • Other: 610605300 DEPT OF LABOR SEATTLE DFE
  • Other: 2576 GROUP HEALTH
  • Other: 0323400001 MC SUPPLY CIGNA DMERC
  • Other: 022886006 REGENCE OREGON
  • Other: 5485BE REGENCE WASHINGTON
  • Other: P00251501 TRAVELERS MEDICARE RETIRE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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