Beall Optical Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

License

598 Issued in GA

Legal business name

BEALL OPTICAL INC

Practice address

3001 N Ashley St
Valdosta, GA 31602-1709

Phone

(229) 247-8484

Fax

(229) 247-7996

NPI assigned

Dec 29, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Allen Beall, LDO

Title

Owner

Phone

(229) 247-8484

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1366429599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 N ASHLEY ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021709",
            "telephone_number": "229-247-8484",
            "fax_number": "229-247-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 N ASHLEY ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021709",
            "telephone_number": "229-247-8484",
            "fax_number": "229-247-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEALL OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "BEALL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-247-8484",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "GA",
            "license": "598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory M Beach, PA
• Beacon Behavioral Healthcare, Inc.
• Beaked Salmon Emergency Physicians LLC
• Beaked Sandfish Inpatient Services LLC
• Gregory S Beale, M.D.
• Stephen A Beall, LDO
• Brandon Beard, DC
• Brook Goff Bearden, M.D.
• Angelina Beatty
• Ashley Marie Beauchamp, ATC, LAT

• Optician in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Optician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.