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Dr. Nikki L Beadle , OD

Optometrist β€’ Scott Afb, IL

Active NPI 1306198155 Individual Practitioner Female Practitioner
Practice location in NPPES

310 W Losey St
Scott Afb, IL 622255250

Call 6182569355 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

310 W Losey St

Scott Afb, IL 622255250

Telephone 6182569355
Organization at the Same NPPES Address or Phone
375th Medgrp-Scott Facility NPI 1851373161

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Hampton, VA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Scott Afb and Illinois

2 active clinicians are listed under Optometrist with a practice address in Scott Afb, IL (2,697 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-05-29
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

License # reported to NPPES OH 6137

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Secondary Practice Locations

77 Nealy Ave

Hampton, VA 236652040

Phone: 7572257630

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

9 listed
NPI 1336424175

JANEAUXIER, Physician Assistant (Certified)

NPI 1265062178

Doctor of Medicine (M.D.)

Dr. Jill Coster , DO

Family Medicine

NPI 1205462942

Doctor of Osteopathic Medicine (D.O.)

NPI 1528120987

Doctor of Osteopathic Medicine (D.O.)

NPI 1912262007

Doctor of Pharmacy (Pharm.D.)

Dr. Ashley Gullixson , DO

Obstetrics & Gynecology

NPI 1992339584

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Business Mailing Address May 29, 2026

Registered at 77 NEALY AVE, HAMPTON, VA 236652040 (Tel: 7572257630)

πŸ“
Updated Practice Location August 16, 2022

Registered at 310 W LOSEY ST, SCOTT AFB, IL 622255250 (Tel: 6182569355)

πŸ“
Updated Business Mailing Address August 16, 2022

Registered at 310 W LOSEY ST, SCOTT AFB, IL 622255250 (Tel: 6182569355)

πŸ‘€
Provider Name / Credentials Updated August 16, 2022

Recorded as NIKKI BEADLE, O.D

βœ…
NPI Profile Active October 03, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 03, 2012

Registered at 113 LIELMANIS AVE, HURLBURT FIELD, FL 325445613 (Tel: 8508813918)

πŸ“
Business Mailing Address (Initial Record) October 03, 2012

Registered at 1475 BRITTINGHAM LN, POWELL, OH 430659177 (Tel: 6143958575)

πŸ‘€
Provider Name / Credentials (Initial Record) October 03, 2012

Recorded as NIKKI LAGENDYK, O.D

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2012

Optometrist (license number reported to NPPES: OH 6137)

🟒
Initial NPI Registration & Enumeration October 03, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1306198155
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2012
Last Update: May 29, 2026
Sole Proprietor: No

Mailing Address

77 Nealy Ave

Hampton, VA 236652040

Phone: 7572257630

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.