MEDICARE: JOY EYE CARE, P.L.L.C.

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

General Provider Information

NPI Number	:	1861641326
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOY EYE CARE, P.L.L.C.

Provider Business Mailing Address
First Line	:	721 BOYD RD
Second Line	:	SUITE E
City	:	AZLE
State	:	TX
Zip	:	76020-4811
Country	:	US
Telephone Number	:	817-270-2020
Fax Number	:	817-270-2002

Provider Business Practice Location Address
First Line	:	721 BOYD RD
Second Line	:	SUITE E
City	:	AZLE
State	:	TX
Zip	:	76020-4811
Country	:	US
Telephone Number	:	817-270-2020
Fax Number	:	817-270-2002

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JOY ANNALEE BATE
Credential	:	O.D., PH.D.
Telephone Number	:	817-270-2020

Provider Enumeration Date	:	09/09/2008
Last Update Date	:	04/29/2010

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