Provider Demographics
NPI:1275536518
Name:BATE, JOY ANNALEE (OD, PHD)
Entity Type:Individual
Prefix:DR
First Name:JOY
Middle Name:ANNALEE
Last Name:BATE
Suffix:
Gender:F
Credentials:OD, PHD
Other - Prefix:DR
Other - First Name:JOY
Other - Middle Name:ANNALEE
Other - Last Name:MARTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:1449 AVONDALE HASLET RD
Mailing Address - Street 2:
Mailing Address - City:HASLET
Mailing Address - State:TX
Mailing Address - Zip Code:76052-3510
Mailing Address - Country:US
Mailing Address - Phone:817-439-5400
Mailing Address - Fax:
Practice Address - Street 1:1449 AVONDALE HASLET RD
Practice Address - Street 2:
Practice Address - City:HASLET
Practice Address - State:TX
Practice Address - Zip Code:76052-3510
Practice Address - Country:US
Practice Address - Phone:817-439-5400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-31
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6493TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB159651Medicaid
TX8C1710Medicare ID - Type Unspecified
TX1667602-01Medicaid