MEDICARE: DR. ERIC SCOTT BATISTE O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152WC0802X	Corneal and Contact Management Optometrist	OEG000080	PA

General Provider Information

NPI Number	:	1720080781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC SCOTT BATISTE O.D.

Provider Business Mailing Address
First Line	:	1307 MEADOW LN
Second Line	:
City	:	DUNCANSVILLE
State	:	PA
Zip	:	16635-7201
Country	:	US
Telephone Number	:	814-944-1492
Fax Number	:

Provider Business Practice Location Address
First Line	:	515 26TH ST
Second Line	:
City	:	ALTOONA
State	:	PA
Zip	:	16602-2026
Country	:	US
Telephone Number	:	814-942-3200
Fax Number	:	814-943-3721

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2005
Last Update Date	:	03/22/2018

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