NPIMap

Organization Active NPI

Dr Russell Beattie

  • Optometrist
  • Mineral, VA
National Provider Identifier
1144358060
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR RUSSELL BEATTIE
Practice address
131 Louisa Ave
Mineral, VA 23117
Phone
(540) 894-5600
Fax
(540) 894-8013
NPI assigned
Mar 1, 2007
Last updated
Nov 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Russell Wills Beattie Jr.NPI 1215951306
Title
Owner
Phone
(540) 894-5600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

131 Louisa Ave
Mineral, VA 23117

Mailing address

PO Box 70
Mineral, VA 23117
Phone (540) 894-5600

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1144358060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "MINERAL",
            "state": "VA",
            "postal_code": "23117",
            "telephone_number": "540-894-5600",
            "fax_number": "540-894-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 LOUISA AVE",
            "city": "MINERAL",
            "state": "VA",
            "postal_code": "23117",
            "telephone_number": "540-894-5600",
            "fax_number": "540-894-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RUSSELL BEATTIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "BEATTIE",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "WILLS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-894-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineral, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.