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BEAVER MEDICAL GROUP LP NPI 1144265919


NPI Information

NPI: 1144265919
Provider Name: BEAVER MEDICAL GROUP, LP
Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 05D1019978

Address:
1300 E COOLEY DR
COLTON, CA
ZIP 92324
Phone: (909) 370-4100
Get Directions

BEAVER MEDICAL GROUP, LP is an optometrist in Colton, CA. 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. BEAVER MEDICAL GROUP, LP NPI is 1144265919. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1300 E COOLEY DR
COLTON, CA
ZIP 92324-905
Phone: (909) 370-4100
Fax: (909) 796-4158

The provider's authorized official is Dennis P Flynn .
The authorized official title is Vice President Of Medical Affairs and has the following contact phone number (909) 799-1818.

The CLIA number assigned to this NPI record is 05D1019978 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/17/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristYes
2207Q00000XFamily MedicineX
3207R00000XInternal MedicineX
4208000000XPediatricsX

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: 11/14/2023

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