Dehaven Eye Clinic Pa in Tyler - Ophthalmology
Dehaven Eye Clinic Pa - NPI 1225037955
Dehaven Eye Clinic Pa is a Ophthalmology in Tyler, Texas. Dehaven Eye Clinic Pa practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Dehaven Eye Clinic Pa is 1225037955. The last update date is 2017-09-18.
Dehaven Eye Clinic Pa's current location address is Po Box 130639, Tyler, Texas. You can contact this provider via phone number 9035957508 and fax number 9035265491. The mailing address for Dehaven Eye Clinic Pa is Po Box 130639, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dehaven Eye Clinic Pa |
|---|---|
| Address | Po Box 130639, Tyler, Texas |
| Phone Number | 9035957508 |
| Fax Number | 9035265491 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | FINANCIAL |
|---|---|
| Authorized Official Name | Lowndes Gina |
| Telephone Number | 9035957510 |
NPI Number Detail
| NPI Number | 1225037955 |
|---|---|
| Provider Enumeration Date | 2005-07-15 |
| Last Updated Date | 2017-09-18 |
Provider Mailing Address Detail
| Address | Po Box 130639 |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757130639 |
| Phone Number | 9035957508 |
| Fax Number | 9035265491 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00N57A | TX | BLUE CROSS BLUE SHIELD | |
| 120728402 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Dehaven Eye Clinic Pa by the Centers for Medicare & Medicaid Services?
The Dehaven Eye Clinic Pa has been assigned the NPI (National Provider Identifier) 1225037955 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Dehaven Eye Clinic Pa's facilities are geographically located?
The facilities of Dehaven Eye Clinic Pa are physically situated at the following location: Po Box 130639, Tyler, TX, 757130639.
What is the area of specialization for Dehaven Eye Clinic Pa, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Dehaven Eye Clinic Pa is Ophthalmology, and the corresponding taxonomy code that categorizes this area of expertise is 207W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1225037955 to Dehaven Eye Clinic Pa?
The Dehaven Eye Clinic Pa received its 1225037955 assignment from the Centers for Medicare & Medicaid Services on 2005-07-15.
As of what date were the Dehaven Eye Clinic Pa's details last updated?
The information pertaining to the Dehaven Eye Clinic Pa, including its address, specialty, and other details, was most recently updated on 2017-09-18.