DR. JEREMY VAUGHN BEAM (OD) – Optometrist, NPI 1790753366

DR. JEREMY VAUGHN BEAM (OD) is a healthcare provider. based in Walla walla, Washington. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 3912 (WA). The NPI Number for DR. JEREMY VAUGHN BEAM (OD) is 1790753366

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEREMY VAUGHN BEAM (OD)
NPI
1790753366
Phone
(509) 529-2020
Address
PO BOX 1138
Enumeration Date
9 March 2006
Last Update Date
21 December 2023

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
50952920209411
Graduation Year
2004 (22 years ago)
PAC ID
5890748438
Group Practice PAC ID
7416845508
Professional Enrollment ID
I20050223000931
Address ID
WA993622816WA22XXXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,098 OPTOMETRY in WA

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Provider Addresses for DR. JEREMY VAUGHN BEAM (OD)

  • Walla Walla Post Office, 85, Commercial Street, Walla Walla, New South Wales, 2659, Australia

    WALLA WALLA, WA 99362

    Phone: (509) 529-2020

    Fax: (509) 529-2115

    Type: Mailing

  • Valley Vision Clinic, 22, West Main Street, Walla Walla, Walla Walla County, Washington, 99362, United States

    WALLA WALLA, WA 99362

    Phone: (509) 529-2020

    Fax: (509) 529-2115

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: RxSight Inc ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
RxSight Inc$24
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-02-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050223000931IOptometryWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92250Photography of the retina361343$0
92014Established patient complete exam of visual system330330$0
99213Established patient office or other outpatient visit, 20-29 minutes158102$0
99214Established patient office or other outpatient visit, 30-39 minutes156137$0
92133Imaging of optic nerve8483$0
View full utilization report →

Insurance plans in this area (ZIP 99362)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416845508View full group profile
NameSpecialtyState
O P T O M E T R YWA
O P T O M E T R YOR
O P T O M E T R YWA
O P T O M E T R YWA
O P T O M E T R YMA
O P T O M E T R YAZ

Reviews

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Frequently asked questions

How do I look up DR. JEREMY VAUGHN BEAM (OD) by NPI?
Use NPI 1790753366 when you need to reference DR. JEREMY VAUGHN BEAM (OD) in forms, claims, or directories.
Is DR. JEREMY VAUGHN BEAM (OD) active in the national directory?
DR. JEREMY VAUGHN BEAM (OD)'s public NPI profile is in an active state.
What kind of provider is DR. JEREMY VAUGHN BEAM (OD)?
The page reflects Optometrist for DR. JEREMY VAUGHN BEAM (OD). Clinical services aligned with this taxonomy classification.
What location shows for DR. JEREMY VAUGHN BEAM (OD)?
We surface Walla Walla, Washington for DR. JEREMY VAUGHN BEAM (OD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.