Organization Active NPI

Norman S Bateh O D P a

  • Optometrist
  • Jacksonville, FL
National Provider Identifier
1366611840
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
NORMAN S BATEH O D P A
Practice address
1233 Lane Ave S Ste 31
Jacksonville, FL 32205-6254
Phone
(904) 781-6770
Fax
(904) 764-2130
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Authorized official

Name
Dr. Norman S BatehNPI 1134110240
Title
Doctor/ President
Phone
(904) 874-6531

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1233 Lane Ave S Ste 31
Jacksonville, FL 32205-6254

Mailing address

1233 Lane Ave S Ste 31
Jacksonville, FL 32205-6254
Phone (904) 781-6770

Other identifiers 1

IdentifierTypeStateIssuer
078407900MedicaidFL

Other names 1

  • BATEH EYE CARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120127000788 FL Part B Supplier - Clinic/Group Practice 5496912792 Receives reassigned benefits from 2 practitioners
Practice locations: Jacksonville, FL

National Provider Directory

National Provider Directory

Locations

1233 Lane Ave S
Ste 31
Jacksonville, FL 32205
Phone (904) 309-3299

1233 Lane Ave S
Ste 15
Jacksonville, FL 32205
Phone (404) 734-1780

5162 Norwood Ave
Jacksonville, FL 32208
Phone (904) 764-2591

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1366611840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 LANE AVE S STE 31",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322056254",
            "telephone_number": "904-781-6770",
            "fax_number": "904-781-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 LANE AVE S STE 31",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322056254",
            "telephone_number": "904-781-6770",
            "fax_number": "904-764-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMAN S BATEH O D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "BATEH",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DOCTOR/ PRESIDENT",
        "authorized_official_telephone_number": "904-874-6531",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078407900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BATEH EYE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.