Provider Demographics
NPI:1114082336
Name:CALAWAY-BATKY, LISA JANE (OD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:JANE
Last Name:CALAWAY-BATKY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5600 W LOVERS LN STE 118
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75209-4311
Mailing Address - Country:US
Mailing Address - Phone:214-956-7800
Mailing Address - Fax:214-956-7837
Practice Address - Street 1:5600 W LOVERS LN STE 118
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75209-4311
Practice Address - Country:US
Practice Address - Phone:214-956-7800
Practice Address - Fax:214-956-7837
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2694T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00E76BMedicare ID - Type Unspecified