Provider Demographics
NPI:1023058187
Name:BATSON, PAUL DENNIS (OD)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:DENNIS
Last Name:BATSON
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 WILDWOOD PKWY STE 100B
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-7300
Mailing Address - Country:US
Mailing Address - Phone:205-943-4600
Mailing Address - Fax:205-943-4688
Practice Address - Street 1:250 STATE FARM PKWY
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-7181
Practice Address - Country:US
Practice Address - Phone:205-943-4600
Practice Address - Fax:205-943-4660
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS880TA461152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL515-10507OtherBC-TIN VALLEY CIRCLE BHAM
AL51504634Medicaid
410046815OtherRAILROAD MEDICARE
AL515-10517OtherBC-1925 MILITARY ST-HAMIL
AL22-10367OtherUNITED HEALTHCARE
AL510-11179OtherBC-418 MARTLING ROAD, ALBERTVILLE
AL510-11180OtherBC-715 SNOW ST, OXFORD
U71049Medicare UPIN
AL515-10517OtherBC - 1925 MILITARY STREET SOUTH, HAMILTON
AL510-11181OtherBC-2010 PATTON CHAPEL ROAD, SUITE 102, BIRMINGHAM
AL515-10529OtherBC-RUSSELLVILLLE
AL1023058187Medicaid
AL51504634OtherBLUE CROSS BLUE SHIELD
ALU71049OtherVIVA UABSO
AL051504634Medicaid
AL51504634Medicare PIN
AL1023058187Medicare PIN
AL15115413OtherBCBS UABSO
AL515-10522OtherBC-768 US HIGHWAY 43, WINFIELD
ALU71049OtherHEALTHSPRINGS OF ALABAMA
AL051504634OtherFEDERAL BLUE CROSS BLUE SHIELD
AL515-10505OtherBC-205 OAKHILL RD, SUITE A, JASPER
AL515-10523OtherBC-HALEYVILLE
AL515-10524OtherBC-1195 MILITARY ST-HAMIL
ALU71049OtherSENIORS FIRST
ALU71049OtherVIVA
AL51515413Medicare PIN
AL515-10528OtherBC-NORTHPORT
AL9921685OtherMEDICAID UABSO
ALP00025570OtherMEDICARE RAILROAD - UABSO
ALU71049OtherVIVA MEDICARE
AL510-10502OtherBC - 1979 ALABAMA HIGHWAY 157, CULLMAN
AL051504634Medicare PIN