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Individual

DR. MARIE ELEANOR BATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO3300
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
118185
BLUE CROSS BLUE SHIELD
MS
01
22-01395
MEDICARE COMPLETE
MO
05
319702213
MO
01
5407
COX HEALTH PLANS
MO
Enumeration date
09/13/2005
Last updated
03/08/2012
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