Provider Demographics
NPI:1679754287
Name:JOSEPH W BATTIN SR
Entity type:Organization
Organization Name:JOSEPH W BATTIN SR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:W
Authorized Official - Last Name:BATTIN
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:716-824-2631
Mailing Address - Street 1:1161 ABBOTT RD
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14220-2701
Mailing Address - Country:US
Mailing Address - Phone:716-824-2631
Mailing Address - Fax:716-824-3173
Practice Address - Street 1:1161 ABBOTT RD
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14220-2701
Practice Address - Country:US
Practice Address - Phone:716-824-2631
Practice Address - Fax:716-824-3173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-26
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0821050001Medicare PIN
NYAA0474Medicare PIN