Provider Demographics
NPI:1255643581
Name:BATTIN, JOSEPH W JR (OD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:W
Last Name:BATTIN
Suffix:JR
Gender:M
Credentials:OD
Other - Prefix:
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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:716-824-3173
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:716-824-3173
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-01
Last Update Date:2010-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV007534-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist