Robert Elam Botts, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000016 Issued in VA

Practice address

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

Phone

(276) 523-4414

Fax

(276) 523-4414

NPI assigned

Mar 5, 2007

Last updated

Feb 11, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

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

Specialty

Optometry

Education

Southern College of Optometry, 1978

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)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

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

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.

• DRS. Botts & Botts, Optometrists PC

  dba Appalachian Vision

  • Optometrist
  • Big Stone Gap, VA
  • NPI 1073795068
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234310400000",
    "number": "1649309691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO DRAWER BB",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "242190660",
            "telephone_number": "276-523-4414",
            "fax_number": "276-523-4414"
        },
        {
            "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",
            "fax_number": "276-523-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTS",
        "first_name": "ROBERT",
        "middle_name": "ELAM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2009-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009204334",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009201068",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BSG",
            "identifier": "021081",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PENNINGTON",
            "identifier": "098665",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "38670",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judy Ann Bolling
• Rebecca Faith Bolling, LPN
• Susan Kay Bolling
• Troy Adam Boring II, LCSW
• Robert Andrew Botts, OD
• John H Brannum, DO
• Donnie Lee Broadwater
• Nancy Ruth Brock
• Rene L Brown, DO
• Justin Ryan Campbell

• Optometrist in Big Stone Gap, VA
• Providers in Big Stone Gap, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.