Individual
DR. DOUGLAS WALTER BATCHELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1230 E BROOMFIELD RD, SUITE 6, MT PLEASANT, MI 48858-9502
(989) 773-2020
(989) 772-7757
Mailing address
1230 E BROOMFIELD RD, SUITE 6, MT PLEASANT, MI 48858-9502
(989) 773-2020
(989) 772-7757
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002891
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900C765030
BCBS PIN
—
01
—
OC76015002
MEDICARE PIN
—
Enumeration date
11/04/2005
Last updated
02/24/2010
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