Provider Demographics
NPI:1043874407
Name:NAYFACH BATTILANA, JOSEPH (OD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:NAYFACH BATTILANA
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:JOSEPH
Other - Middle Name:
Other - Last Name:NAYFACH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:7215 SANDY ISLE LN
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389-4076
Mailing Address - Country:US
Mailing Address - Phone:415-847-8346
Mailing Address - Fax:
Practice Address - Street 1:1441 WOODSTEAD CT STE 110
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-1449
Practice Address - Country:US
Practice Address - Phone:281-944-3937
Practice Address - Fax:281-721-4433
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-30
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9614152WL0500X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WL0500XEye and Vision Services ProvidersOptometristLow Vision Rehabilitation