Individual
DR. JEREMY VAUGHN BEAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2979T
OR
152W00000X
Optometrist
Primary
3912
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0190335
DEPT OF LABOR & INDUSTRY
—
01
—
022886006
REGENCE OREGON
—
01
—
0323400001
MC SUPPLY CIGNA DMERC
—
05
—
2029635
—
WA
01
—
2576
GROUP HEALTH
—
01
—
5485BE
REGENCE WASHINGTON
—
01
—
610605300
DEPT OF LABOR SEATTLE DFE
—
01
—
7666593
AETNA
—
01
—
8886644808
COMMUNITY HEALTH PLAN WA
—
01
—
910940489
COMERCIAL CLAIMS
—
01
—
P00251501
TRAVELERS MEDICARE RETIRE
—
Enumeration date
03/09/2006
Last updated
12/21/2023
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