Individual provider Active NPI

Joseph Canfield Beattie, O.D.

  • Optometrist
  • Portland, OR
National Provider Identifier
1467507335
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1416 ATI Issued in OR
Practice address
7826 SW Capitol Hwy
Portland, OR 97219-2466
Phone
(503) 244-7788
Fax
(503) 244-2809
NPI assigned
Jan 23, 2007
Last updated
Jan 27, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1416 ATI OR Primary

Addresses

Primary practice location

7826 SW Capitol Hwy
Portland, OR 97219-2466

Mailing address

7826 SW Capitol Hwy
Portland, OR 97219-2466
Phone (503) 244-7788

Other identifiers 2

IdentifierTypeStateIssuer
3841000OtherORBLUE CROSS
231122OtherOREYEMED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110110000361 OR Practitioner - Optometry 0446449227 Reassigns benefits to 1 organization
Practice locations: Portland, OR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1416 ATIORMDOptometrist
1416ORMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Eye Group LLC Optometrist CurrentSince Apr 9, 2016 Accepting new patients
Atlas Eye Group LLC Optometrist CurrentSince Apr 9, 2016 Accepting new patients
North Portland Optical Optometrist Past Accepting new patients

Locations

7826 SW Capitol Hwy
Portland, OR 97219
Phone (503) 244-7788

7826 SW Capitol Hwy
#C
Portland, OR 97219
Phone (503) 244-7788

226 E Historic Columbia River Hwy
Troutdale, OR 97060
Phone (503) 492-3897

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296086400000",
    "number": "1467507335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7826 SW CAPITOL HWY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972192466",
            "telephone_number": "503-244-7788",
            "fax_number": "503-244-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7826 SW CAPITOL HWY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972192466",
            "telephone_number": "503-244-7788",
            "fax_number": "503-244-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATTIE",
        "first_name": "JOSEPH",
        "middle_name": "CANFIELD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2011-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1416 ATI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "3841000",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "231122",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.