Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUSSELL W. BEATTIE, O.D.
Active Sole ProprietorRUSSELL W. BEATTIE, O.D. is a Optometrist healthcare provider located in MINERAL, Virginia. NPI 1215951306 is currently active in the NPPES registry. Verify at CMS.
Optometrist · MINERAL, VA
Registration Details
- NPI Number
- 1215951306
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 26, 2006 (20.033599355886 yrs)
- Last Updated
- Apr 7, 2008
- License
-
0618000009 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
131 LOUISA AVE.MINERAL, VA, 23117Browse VA providers · Browse ZIP 23117
- Phone
- 5408945600
- Primary Specialty
-
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.