Provider Demographics
NPI:1780867796
Name:BATEK FAMILY EYE CARE, INC.
Entity Type:Organization
Organization Name:BATEK FAMILY EYE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:BATEK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:573-642-5995
Mailing Address - Street 1:405 COURT ST
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:MO
Mailing Address - Zip Code:65251-1724
Mailing Address - Country:US
Mailing Address - Phone:573-642-5995
Mailing Address - Fax:573-642-5995
Practice Address - Street 1:405 COURT ST
Practice Address - Street 2:
Practice Address - City:FULTON
Practice Address - State:MO
Practice Address - Zip Code:65251-1724
Practice Address - Country:US
Practice Address - Phone:573-642-5995
Practice Address - Fax:573-642-5995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-12
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO16967241261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO4348310001Medicare NSC