Organization Active NPI

Barrett Vision Center LLC

  • Optometrist
  • Altoona, PA
National Provider Identifier
1740799758
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000080 Issued in PA
Legal business name
BARRETT VISION CENTER LLC
Practice address
515 26TH St
Altoona, PA 16602-2026
Phone
(814) 942-3200
NPI assigned
Sep 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Eric Batiste, O.D.NPI 1720080781
Title
Owner
Phone
(814) 942-3200

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG000080 PA Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

515 26TH St
Altoona, PA 16602-2026

Mailing address

515 26TH St
Altoona, PA 16602-2026
Phone (814) 942-3200

Other identifiers 1

IdentifierTypeStateIssuer
0018831190001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20171218001997 PA Part B Supplier - Clinic/Group Practice 2163780313 Receives reassigned benefits from 1 practitioner
Practice locations: Altoona, PA
O20180821002585 PA DME Supplier - Multi-Specialty - Physician 2163780313 Practice locations: Altoona, PA

National Provider Directory

National Provider Directory

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": "1505952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1740799758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 26TH ST",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166022026",
            "telephone_number": "814-942-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 26TH ST",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166022026",
            "telephone_number": "814-942-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRETT VISION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BATISTE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-942-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000080",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018831190001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.