Active NPI
Regine Lydie Bataille-Gossard, OD
- Optometrist
- Monaca, PA
National Provider Identifier
1366533945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OET009042
- Practice address
- Walmart Vision Center
Walmart Plaza Route 18
Monaca, PA 15061 - Phone
- (724) 773-2930
- Fax
- (724) 773-2932
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OET009042 | PA | Primary |
Addresses
Primary practice location
Walmart Vision Center
Walmart Plaza Route 18
Monaca, PA 15061
Mailing address
2920 Darlington Rd
Beaver Falls, PA 15010
Phone (724) 847-3350
Other names 1
- Dr. Regine Lydie Bataille
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OET009042 | PA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366533945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2920 DARLINGTON RD",
"city": "BEAVER FALLS",
"state": "PA",
"postal_code": "15010",
"telephone_number": "724-847-3350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WALMART VISION CENTER",
"address_2": "WALMART PLAZA ROUTE 18",
"city": "MONACA",
"state": "PA",
"postal_code": "15061",
"telephone_number": "724-773-2930",
"fax_number": "724-773-2932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATAILLE-GOSSARD",
"first_name": "REGINE",
"middle_name": "LYDIE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OET009042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REGINE",
"last_name": "BATAILLE",
"middle_name": "LYDIE",
"prefix": "DR.",
"credential": "OD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Monaca, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.