Russell Beach, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618001498 Issued in VA

Practice address

1116 Volvo Pkwy
Chesapeake, VA 23320

Phone

(757) 426-2020

NPI assigned

Jul 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clearview Eye Care, IncGroup PAC ID 0345630729, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Clearview Eye Care, LLC

  • Optometrist
  • Virginia Beach, VA
  • NPI 1427498344
  Medicare reassignment Care Compare group NPD Authorized official
• Clearview Eye Care

  • Optometrist
  • Cincinnati, OH
  • NPI 1427374826
  NPD

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1801818109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2077 LYNNHAVEN PKWY STE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234564884",
            "telephone_number": "757-426-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 VOLVO PKWY",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "23320",
            "telephone_number": "757-426-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2033 Fisher Arch",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "23456",
            "country_code": "US",
            "telephone_number": "757-426-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2051 Sun Harbour Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234353843",
            "country_code": "US",
            "telephone_number": "757-426-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2077 Lynnhaven Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234564884",
            "country_code": "US",
            "telephone_number": "757-426-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEACH",
        "first_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.coastalvisionva.com",
            "affiliation": "N",
            "address_1": "1116 Volvo Pkwy",
            "city": "Chesapeake",
            "state": "VA",
            "country_code": "US",
            "postal_code": "233202803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bay Area Physician Services, LLC
• Bayview Physician Services, PC
• Be Heaven Residential Living
• Be Well, LLC
• Beach Family Eyecare PC
• Debra C Beale, RPH
• Dmonyaa Zaire Beale, BT
• Shaun Beam
• Andra Beamon, PHARM. D.
• Bear Sleep Center LLC

• Optometrist in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.