Individual
GREG BATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1900 BROADWAY ST, SUITE 1, PADUCAH, KY 42001-7158
(270) 443-2020
(270) 442-7307
Mailing address
1900 BROADWAY ST, SUITE 1, PADUCAH, KY 42001-7158
(270) 443-2020
(270) 442-7307
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1406DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000189539
ANTHEM BCBS
—
05
—
77014066
—
KY
05
—
77903458
—
KY
Enumeration date
03/07/2006
Last updated
10/26/2007
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