Provider Demographics
NPI:1851488415
Name:BATTIN, JOSEPH W (OPTICIAN)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:W
Last Name:BATTIN
Suffix:
Gender:M
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1161 ABBOTT RD
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14220-2701
Mailing Address - Country:US
Mailing Address - Phone:716-824-2631
Mailing Address - Fax:
Practice Address - Street 1:1161 ABBOTT RD
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14220-2701
Practice Address - Country:US
Practice Address - Phone:716-824-2631
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYC0042801156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYAA0474Medicare PIN
NY0821050001Medicare PIN