Individual
BRIAN C BEATTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1929 N WASHINGTON ST STE AA, BISMARCK, ND 58501-1616
(701) 255-7894
(701) 989-6098
Mailing address
1929 N WASHINGTON ST STE AA, BISMARCK, ND 58501-1616
(701) 255-7894
(701) 989-6098
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
391
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1463219
—
ND
Enumeration date
06/03/2006
Last updated
01/27/2020
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