Individual provider Active NPI

Rodnell Stephen Gonzales Batac, OD

  • Optometrist
  • Durham, NC
National Provider Identifier
1316771207
Registry record updated Sep 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2803 Issued in NC
Practice address
2351 Erwin Rd Dumc Box 3802
Durham, NC 27710-4699
Phone
(919) 681-3937
NPI assigned
Aug 31, 2024
Last updated
Sep 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2803 NC Primary

Addresses

Primary practice location

2351 Erwin Rd Dumc Box 3802
Durham, NC 27710-4699

Mailing address

2351 Erwin Road Dumc Box 3802
Durham, NC 27710-4113
Phone (702) 353-8183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241021004539 NC Practitioner - Optometry 4880126382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

40 Duke Medicine Cir
Durham, NC 27710-3810
Phone (919) 684-8111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2803NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Health Integrated Practice, Inc. Single Specialty CurrentSince Oct 1, 2024 Accepting new patients

Locations

234 Crooked Creek Pkwy
Ste 100
Durham, NC 27713

2351 Erwin Rd
Durham, NC 27705
Phone (919) 282-0053

2351 Erwin Rd
#3802
Durham, NC 27705
Phone (919) 668-5079

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

401 Irving Pkwy
Ste 110
Holly Springs, NC 27540
Phone (919) 385-3022

Interoperability endpoints

  • Direct secure messaging: rbatac583443@direct.medicine.duke.edu

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726876800000",
    "number": "1316771207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 ERWIN ROAD DUMC BOX 3802",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277104113",
            "telephone_number": "702-353-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 ERWIN RD DUMC BOX 3802",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277104699",
            "telephone_number": "919-681-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATAC",
        "first_name": "RODNELL STEPHEN",
        "middle_name": "GONZALES",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-31",
        "last_updated": "2024-09-21",
        "certification_date": "2024-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.