Deaton, John K

Deaton, John K is an individual health care provider with primary practice located at 1424 East Front , Tyler TX 75702-8501. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Deaton, John K can be contacted via phone (903) 595-4144.

Contact Information

Primary practice address
1424 East Front Tyler TX 75702-8501
Phone: (903) 595-4144
Fax: (903) 596-7541
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 05562TG Texas

Profile Details

NPI number 1497752109
LBN Legal business name Deaton, John K
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Nov 6th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497752109 NPPES
Texas Other 70893 MEDICARE
Texas MEDICAID 047945301 MEDICARE
Texas Other 80154Q MEDICARE
Texas Other P02098771 MEDICARE
Texas Other 1964984 MEDICARE
Texas Other 21816989 MEDICARE
Texas Other 7009226 MEDICARE
Texas Other 9942374 MEDICARE
Texas MEDICAID 047945302 MEDICARE

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