Provider Demographics
NPI:1396376026
Name:BATES OPTICIANS
Entity Type:Organization
Organization Name:BATES OPTICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CSER
Authorized Official - Suffix:
Authorized Official - Credentials:RDO
Authorized Official - Phone:530-413-9627
Mailing Address - Street 1:2540 ZANELLA WAY STE 10
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-7194
Mailing Address - Country:US
Mailing Address - Phone:530-413-9627
Mailing Address - Fax:530-413-9628
Practice Address - Street 1:120 INDEPENDENCE CIR
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95973-4925
Practice Address - Country:US
Practice Address - Phone:530-354-5242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-31
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA71094OtherCALIFORNIA STATE BOARD OF OPTOMETRY