Dr. Andrea M. Beatty
Optomitrist - Corneal and Contact Lenses
16202 Midland Dr
Shawnee
, Kansas 66217-9535
Dr. Andrea M. Beatty
Optomitrist - Corneal and Contact Lenses
16202 Midland Dr
Shawnee
, Kansas 66217-9535
(913) 962-2013
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About
Features
Specialties
- Optomitrist - Corneal and Contact Lenses
Languages spoken
- English
Location
First Address
- Dr. Andrea M. Beatty
- 16202 Midland Dr
- Shawnee, KS
- Zip : 66217-9535
- Fax : (913) 962-2013
- Phone : (913) 962-2010
Second Address
- Dr. Andrea M. Beatty
- 16202 Midland Dr
- Shawnee, KS
- Zip : 66217-9535
- Fax : (913) 962-2013
- Phone : (913) 962-2010
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 1601 | KS |
National Provider Identifier
| NPI | 1093908329 |
|---|---|
| Provider Name | Dr. Andrea M. Beatty |
| First Address | Shawnee, KS 66217-9535 |
| Second Address | Shawnee, KS 66217-9535 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/08/2007 |
| Last Update Date | 13/12/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 30585025 | BLUE CROSS BLUE SHIELD MO (01) | KS |
| U88411 | (02) | KS |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.