Dehaven Eye Clinic Pa

LBN: Dehaven Eye Clinic Pa
Dehaven Eye Clinic Pa is an health care organization with primary practice located at 1424 E Front St , Tyler TX 75702-8501. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Dehaven Eye Clinic Pa can be contacted via phone (903) 595-4144, or through Lowndes, Gina via phone (903) 595-7510.

Contact Information

Primary practice address
1424 E Front St Tyler TX 75702-8501
Phone: (903) 595-4144
Fax: (903) 526-5491
Website:
Map and Directions
Authorized official contact:
Name: Lowndes, Gina
Phone: (903) 595-7510

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1225037955
LBN Legal business name Dehaven Eye Clinic Pa
DBA Doing business as
Authorized official Lowndes, Gina
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2005
Last updated Sep 18th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225037955 NPPES
Texas Other 00N57A BLUE CROSS BLUE SHIELD
Texas MEDICAID 120728402 BLUE CROSS BLUE SHIELD

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