Beaty Eye Clinic & Associates, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BEATY EYE CLINIC & ASSOCIATES, INC.

Practice address

208 Broad St
Bennettsville, SC 29512-4064

Phone

(843) 479-3331

Fax

(843) 479-3355

NPI assigned

Mar 14, 2006

Last updated

Dec 10, 2008By 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

Mrs. Patricia Knight Beaty

Title

Office Manager

Phone

(843) 479-3331

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228867200000",
    "number": "1821066911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 BROAD ST",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "295124064",
            "telephone_number": "843-479-3331",
            "fax_number": "843-479-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 BROAD ST",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "295124064",
            "telephone_number": "843-479-3331",
            "fax_number": "843-479-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEATY EYE CLINIC & ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2008-12-10",
        "status": "A",
        "authorized_official_last_name": "BEATY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "KNIGHT",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "843-479-3331",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9750",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shaquana Sherrelle Antrum
• Atlee Counseling, LLC
• Christian L. Barnes-Young, MS, LPC
• Katie Grace Bateman, MA
• Carolyn Bazen, M.S.
• Dudley C. Beaty III, DMD
• Elizabeth James Beaty, O.D.
• Eunice Carnelia Bell, MSW
• Bennettsville Health and Rehab LLC (Bennettsville Health and Rehab)
• Bennettsville Health Care LLC (Bennettsville Health and Rehabilitation Center)

• Optometrist in Bennettsville, SC
• Providers in Bennettsville, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; 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.