Provider Demographics
NPI:1578784492
Name:CHRISTINE BATCHELOR, O.D., AN OPTOMETRIC CORPORATION
Entity Type:Organization
Organization Name:CHRISTINE BATCHELOR, O.D., AN OPTOMETRIC CORPORATION
Other - Org Name:HICKS & BATCHELOR OPTOMETRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:PFONDEVIDA
Authorized Official - Last Name:BATCHELOR
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:831-424-2531
Mailing Address - Street 1:515 ALAMEDA AVE
Mailing Address - Street 2:SUITE 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:SUITE 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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2011-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4584T152W00000X
CA10778T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASD0045840Medicaid
CA1700858024OtherJAMES HICKS, O.D. NPI
CA1427035625OtherC. BATCHELOR, O.D. NPI
CA1700858024OtherJAMES HICKS, O.D. NPI
CA1427035625OtherC. BATCHELOR, O.D. NPI