Individual
DR. CHARLES J. BEATTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D., F.A.A.O.
Contact information
Practice address
2449 PINE ST, BOULDER, CO 80302-4610
(720) 600-0440
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2196
CO
152W00000X
Optometrist
OPC3778
FL
Other
Enumeration date
06/09/2006
Last updated
10/26/2021
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