Individual provider Active NPI

Robert Andrew Botts, OD

  • Optometrist
  • Big Stone Gap, VA
National Provider Identifier
1639581192
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002327 Issued in VA
Practice address
606 Powell Ave E
Big Stone Gap, VA 24219-2348
Phone
(276) 523-4414
NPI assigned
Jun 2, 2014
Last updated
Jun 2, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002327 VA Primary

Addresses

Primary practice location

606 Powell Ave E
Big Stone Gap, VA 24219-2348

Mailing address

P.O. Drawer BB
Big Stone Gap, VA 24219-0660
Phone (273) 523-4414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20140718000326 VA Practitioner - Optometry 6608092101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS. Botts and Botts, Optometrists PCGroup PAC ID 1759459290, 3 clinicians

Practice addresses (Care Compare)

606 Powell Ave E
Big Stone Gap, VA 24219-2348
Phone (276) 523-4414

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618002327VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Botts & Botts, Optometrists PC Optometrist CurrentSince Jun 6, 2014 Accepting new patients

Locations

606 Powell Ave E
Big Stone Gap, VA 24219
Phone (276) 523-4414

41372 W Morgan Ave
Pennington Gap, VA 24277
Phone (276) 546-2113

16408 Wise St
Saint Paul, VA 24283
Phone (276) 323-5011

Interoperability endpoints

  • Direct secure messaging: abotts@bottsandbotts.direct.eyemdemr.com

Organizations & group practices 1

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": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401667200000",
    "number": "1639581192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. DRAWER BB",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "242190660",
            "telephone_number": "273-523-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 POWELL AVE E",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "242192348",
            "telephone_number": "276-523-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTS",
        "first_name": "ROBERT",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Stone Gap, VA

Sources for this page

Verify at the official NPI Registry.