MEDICARE: DR. GEOFFREY CHRISTOPHER CALAWAY O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	3618TG	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00041584	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4626870	OTHER		AETNA
2	918848	OTHER		EYEMED
3	80836Q	OTHER	TX	BCBS
5	42759000	OTHER		DAVIS VISION
6	907400	OTHER		BLOCK VISION
7	8112507	OTHER		BLUE LINK

General Provider Information

NPI Number	:	1497751986
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEOFFREY CHRISTOPHER CALAWAY O.D.

Provider Business Mailing Address
First Line	:	3100 WESLAYAN ST
Second Line	:	STE 400
City	:	HOUSTON
State	:	TX
Zip	:	77027-5752
Country	:	US
Telephone Number	:	713-526-1600
Fax Number	:	713-526-6520

Provider Business Practice Location Address
First Line	:	3100 WESLAYAN ST
Second Line	:	STE 400
City	:	HOUSTON
State	:	TX
Zip	:	77027-5752
Country	:	US
Telephone Number	:	713-526-1600
Fax Number	:	713-526-6520

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	07/08/2007

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Directions to “ DR. GEOFFREY CHRISTOPHER CALAWAY O.D.” Practice Location

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