Organization Active NPI

Betsy a Rose

  • Optician
  • Abingdon, VA
National Provider Identifier
1245433705
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
1101001369 Issued in VA
Legal business name
BETSY A ROSE
Practice address
329 Cummings St
Abingdon, VA 24210-3207
Phone
(276) 628-9970
Fax
(276) 628-9937
NPI assigned
Jun 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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

Authorized official

Name
Ms. Betsy A. Rose
Title
Office Manager/Owner
Phone
(276) 628-9970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 1101001369 VA Primary

Addresses

Primary practice location

329 Cummings St
Abingdon, VA 24210-3207

Mailing address

329 Cummings St
Abingdon, VA 24210-3207
Phone (276) 628-9970

Other identifiers 1

IdentifierTypeStateIssuer
9280146MedicaidVA

National Provider Directory

National Provider Directory

Locations

329 Cummings St
Abingdon, VA 24210
Phone (276) 628-9970

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1245433705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 CUMMINGS ST",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242103207",
            "telephone_number": "276-628-9970",
            "fax_number": "276-628-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 CUMMINGS ST",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242103207",
            "telephone_number": "276-628-9970",
            "fax_number": "276-628-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETSY A ROSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "BETSY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OFFICE MANAGER/OWNER",
        "authorized_official_telephone_number": "276-628-9970",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "VA",
            "license": "1101001369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9280146",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.