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Individual

DR. THERESA L BATAC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
612 HILLTOP WEST SHOPPING CTR, VIRGINIA BEACH, VA 23451-6139
(757) 491-1977
(757) 491-1136
Mailing address
612 HILLTOP WEST SHOPPING CTR, VIRGINIA BEACH, VA 23451-6139
(757) 491-1977

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000007
VA
152WC0802X
Corneal and Contact Management Optometrist
601001676
VA
152WL0500X
Low Vision Rehabilitation Optometrist
601001676
VA
152WP0200X
Pediatric Optometrist
601001676
VA
152WX0102X
Occupational Vision Optometrist
601001676
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1801903745
GROUP NPI
01
51-0558604
TAXID CORP
05
9232559
VA
Enumeration date
12/15/2005
Last updated
08/13/2025
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