Paul Dealba, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1689DT Issued in KY

Practice address

3812 Margo CT
Lexington, KY 40510-9704

Phone

(859) 539-5145

NPI assigned

Aug 17, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1922111475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 MARGO CT",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405109704",
            "telephone_number": "859-539-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 MARGO CT",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405109704",
            "telephone_number": "859-539-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEALBA",
        "first_name": "PAUL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1689DT",
            "primary": true
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "KY",
            "license": "1689DT",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Marie De la Torre, APRN
• Rinskje De Leeuw, DDS, PHD
• Helio De Paula Carvalho, MD
• Samela Thais De Paula Lima Pereira, DDS
• Randal De Souza, MD
• Dawson Frank Dean III, MD
• Ershela Dawn Dean, RN
• Jesse J Dean, M.D.
• Linda J Dean, LPN
• Melvin W. Dean, D.M.D.

• Optometrist in Lexington, KY
• Providers in Lexington, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.