Batac, Theresa L

Batac, Theresa L is an individual health care provider with primary practice located at 7525 Tidewater Dr Ste 41 , Norfolk VA 23505-3700. She recently has 5 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Occupational Vision, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Batac, Theresa L can be contacted via phone (757) 588-5423.

Contact Information

Primary practice address
7525 Tidewater Dr Ste 41 Norfolk VA 23505-3700
Fax: (757) 588-6012
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 601001676 Virginia
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X 601001676 Virginia
Eye and Vision Services Providers / Pediatrics 152WP0200X 601001676 Virginia
Eye and Vision Services Providers / Occupational Vision 152WX0102X 601001676 Virginia
Eye and Vision Services Providers / Optometrist 152W00000X 0618000007 Virginia

Profile Details

NPI number 1346226008
LBN Legal business name Batac, Theresa L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Dec 16th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346226008 NPPES
Virginia MEDICAID 9232559
Virginia Other 1801903745
Virginia Other 51-0558604

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