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General NPI Number Information
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NPI Number | 1184762874
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Entity Type | Organization
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Legal Business Name | DAVID C. BATZER II, O.D.
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 116 N HANSELMAN ST
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City | BAD AXE
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State | MI
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Zip | 48413-1201
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Country | US
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Telephone | 989-872-3404
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Fax | 989-269-7278
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Provider Business Mailing Address
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Address Line | 116 N HANSELMAN ST
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City | BAD AXE
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State | MI
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Zip | 48413-1201
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Country | US
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Telephone | 989-872-3404
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Fax | 989-269-7278
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. DAVID C BATZER II
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Credential | O.D.
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Telephone | 989-872-3404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4901003190
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License Number State | MI
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