MEDICARE: DR. JOY ANNALEE BATE O.D., PH.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	6493TG	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275536518
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOY ANNALEE BATE O.D., PH.D.

Provider Business Mailing Address
First Line	:	1449 AVONDALE HASLET RD
Second Line	:
City	:	HASLET
State	:	TX
Zip	:	76052-3510
Country	:	US
Telephone Number	:	817-439-5400
Fax Number	:

Provider Business Practice Location Address
First Line	:	1449 AVONDALE HASLET RD
Second Line	:
City	:	HASLET
State	:	TX
Zip	:	76052-3510
Country	:	US
Telephone Number	:	817-439-5400
Fax Number	:

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

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	07/29/2022

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