Provider Demographics
NPI:1306868484
Name:BATEMAN, CHRISTOPHER D (OD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:D
Last Name:BATEMAN
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 1:1018 OBERLIN RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27605-1135
Mailing Address - Country:US
Mailing Address - Phone:919-828-2078
Mailing Address - Fax:919-833-9835
Practice Address - Street 1:1018 OBERLIN RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27605-1135
Practice Address - Country:US
Practice Address - Phone:919-828-2078
Practice Address - Fax:919-833-9835
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2013-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1434152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890911EMedicaid
NC0911EOtherBCBS
NC1316195OtherUNITED HEALTH CARE
NC0911EOtherBCBS
NC1316195OtherUNITED HEALTH CARE