Provider Demographics
NPI:1427035625
Name:BATCHELOR, CHRISTINE PFONDEVIDA (OD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:PFONDEVIDA
Last Name:BATCHELOR
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 ALAMEDA AVE
Mailing Address - Street 2:STE C
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-4024
Mailing Address - Country:US
Mailing Address - Phone:831-424-2531
Mailing Address - Fax:831-424-3778
Practice Address - Street 1:515 ALAMEDA AVE
Practice Address - Street 2:STE C
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-4024
Practice Address - Country:US
Practice Address - Phone:831-424-2531
Practice Address - Fax:831-424-3778
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2010-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10778T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACX671ZMedicare PIN
CAU64609Medicare UPIN