Dr Beattie Fork Union Office

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DR BEATTIE FORK UNION OFFICE

Practice address

4321 James Madison Hwy
Suite 2
Fork Union, VA 23055-2025

Phone

(434) 842-3364

Fax

(434) 842-3362

NPI assigned

Mar 19, 2007

Last updated

Oct 9, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Russell Wills Beattie Jr.

Title

Owner

Phone

(434) 842-3364

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Douglas Floyd Weiss, OD

  • Optometrist
  • Palmyra, VA
  • NPI 1902967466
  NPD (past)
• Victoria Molnar Weiss, OD

  • Optometrist
  • Palmyra, VA
  • NPI 1568523033
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1417071002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 517",
            "city": "FORK UNION",
            "state": "VA",
            "postal_code": "23055",
            "telephone_number": "434-842-3364",
            "fax_number": "434-842-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 JAMES MADISON HWY",
            "address_2": "SUITE 2",
            "city": "FORK UNION",
            "state": "VA",
            "postal_code": "230552025",
            "telephone_number": "434-842-3364",
            "fax_number": "434-842-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BEATTIE FORK UNION OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-10-09",
        "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": "434-842-3364",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "022131",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Aaron Berman
• Jonas Celian
• Leah Treasure Celian, PT, DPT
• Christine Cooper, PTA
• Patricia Lee Dawson, FNP
• DRS. Weiss Optometrists
• Mackenzie Easton
• Envoy of Fork Union, LLC (Envoy at the Village)
• Roy Fields III
• Fork Union Family Medicine

• Optometrist in Fork Union, VA
• Providers in Fork Union, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.