Organization Active NPI

Dehaven Optical Center

  • Eyewear Supplier
  • Sulphur Springs, TX
National Provider Identifier
1992192967
Registry record updated Apr 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
DEHAVEN OPTICAL CENTER
Practice address
1100 Mockingbird Lane
Lonestar Optical
Sulphur Springs, TX 75482-4853
Phone
(903) 439-2020
Fax
(903) 439-2020
NPI assigned
Apr 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2015

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

Authorized official

Name
Ava B. Ashby
Title
Financial Service MGR.
Phone
(903) 595-7510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

1100 Mockingbird Lane
Lonestar Optical
Sulphur Springs, TX 75482-4853

Mailing address

1424 East Front
Dehaven Optical Center Dba Lonestar Optical
Tyler, TX 75702-8501
Phone (903) 595-4144

Other names 1

  • Lonestar Optical Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1992192967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 EAST FRONT",
            "address_2": "DEHAVEN OPTICAL CENTER DBA LONESTAR OPTICAL",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757028501",
            "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": "1100 MOCKINGBIRD LANE",
            "address_2": "LONESTAR OPTICAL",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754824853",
            "telephone_number": "903-439-2020",
            "fax_number": "903-439-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEHAVEN OPTICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "ASHBY",
        "authorized_official_first_name": "AVA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "FINANCIAL SERVICE MGR.",
        "authorized_official_telephone_number": "903-595-7510"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lonestar Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sulphur Springs, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; 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.