MEDICARE: DR. DAVID J BAPTISTE 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	152W00000X	Optometrist	895	NV
2	152W00000X	Optometrist	1215-386T	LA
3	152W00000X	Optometrist	3331	TN
4	152W00000X	Optometrist	18004006A	IN
5	152W00000X	Optometrist	TUV008541-1	NY
6	152W00000X	Optometrist	6879 T	TX

General Provider Information

NPI Number	:	1184801268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID J BAPTISTE O.D.

Provider Business Mailing Address
First Line	:	4724 MONTANA AVE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79903-4811
Country	:	US
Telephone Number	:	915-566-8693
Fax Number	:	915-566-9229

Provider Business Practice Location Address
First Line	:	4724 MONTANA AVE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79903-4811
Country	:	US
Telephone Number	:	915-566-8693
Fax Number	:	915-566-9229

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

Provider Enumeration Date	:	01/30/2008
Last Update Date	:	04/11/2018

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