Dehaven Eye Clinic PA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

DEHAVEN EYE CLINIC PA

Practice address

1424 E Front St
Tyler, TX 75702-8501

Phone

(903) 595-4144

Fax

(903) 526-5491

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Gina Lowndes

Title

Financial Service Manager

Phone

(903) 595-7510

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruce W. Debeer, O.D.

  • Optometrist
  • Marshall, TX
  • NPI 1245224468
  NPD (past)
• Cody Harris Whiddon, OD

  • Optometrist
  • Marshall, TX
  • NPI 1588143598
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505692800000",
    "number": "1972657773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130639",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757130639",
            "telephone_number": "903-595-4144",
            "fax_number": "903-526-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 E FRONT ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757028501",
            "telephone_number": "903-595-4144",
            "fax_number": "903-526-5491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEHAVEN EYE CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2017-09-18",
        "status": "A",
        "authorized_official_last_name": "LOWNDES",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "FINANCIAL SERVICE MANAGER",
        "authorized_official_telephone_number": "903-595-7510",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120728405",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00C25J",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Brooke Dees
• Destani Defur
• Assefa Degu
• Dehaven Cataract Surgical Center ,Inc
• Dehaven Eye Clinic PA
• Thomas J. Dehaven, M.D.
• Deity Health Care LLC
• John Dejesus
• Anabel Del Angel
• Rafael Delacruz, CRNA

• Certified Registered Nurse Anesthetist in Tyler, TX
• Providers in Tyler, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2017; 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.