Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306198155 Individual Practitioner Female Practitioner

Dr. Nikki L Beadle , OD

Optometrist • Scott Afb, IL

Professional Overview & Biography Verified Profile Summary

Dr. Nikki Beadle, OD is a registered healthcare professional specializing in Optometrist in Scott Afb, IL. Practice services are available at 310 W LOSEY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

310 W Losey St

Scott Afb, IL 622255250

Telephone 6182569355
Associated Practice Facility / Clinic
🏢 375th Medgrp-Scott Facility NPI 1851373161

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Scott Afb, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
2 Specialists

Practicing in Scott Afb, IL (2783 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-05-29
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License 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.

Secondary Practice Locations

77 Nealy Ave

Hampton, VA 236652040

Phone: 7572257630

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1023399342

Doctor of Pharmacy (Pharm.D.)

NPI 1023756707

Doctor of Medicine (M.D.)

NPI 1033450952

Registered Nurse

Christine Kmiecik

Social Worker - Clinical

NPI 1053684712
NPI 1073181822

Doctor of Osteopathic Medicine (D.O.)

Dr. Jamie Rand , MD

Surgery - Trauma Surgery

NPI 1073660106

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Business Mailing Address May 29, 2026

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

📍
Updated Practice Location August 16, 2022

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

📍
Updated Business Mailing Address August 16, 2022

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

👤
Provider Name / Credentials Updated August 16, 2022

Recorded as NIKKI BEADLE, O.D

NPI Profile Active October 03, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 03, 2012

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

📍
Updated Business Mailing Address October 03, 2012

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

👤
Provider Name / Credentials Updated October 03, 2012

Recorded as NIKKI LAGENDYK, O.D

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

Optometrist (License #6137 in OH)

🟢
Initial NPI Registration & Enumeration October 03, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.