Provider Demographics
NPI:1720080781
Name:BATISTE, ERIC SCOTT (OD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:SCOTT
Last Name:BATISTE
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 1:1307 MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:DUNCANSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16635-7201
Mailing Address - Country:US
Mailing Address - Phone:814-944-1492
Mailing Address - Fax:
Practice Address - Street 1:515 26TH ST
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16602-2026
Practice Address - Country:US
Practice Address - Phone:814-942-3200
Practice Address - Fax:814-943-3721
Is Sole Proprietor?:No
Enumeration Date:2005-06-02
Last Update Date:2018-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000080152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU89452Medicare UPIN
PA056267QEWMedicare ID - Type Unspecified