LESLIE DEHAVEN OD
NPI 1114081106
Optometrist in White House, TN

Active since December 21, 2006
122 HIGHWAY 76, WHITE HOUSE, TN 37188(615) 672-6896(615) 672-6783 Get Directions Write a Review

NPPES record last updated: May 2, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Leslie Dehaven Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LESLIE DEHAVEN OD (NPI 1114081106) is an individual optometrist in White House, Tennessee, licensed in Tennessee (2276) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1114081106
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameLESLIE DEHAVENCredential: OD
Location Address122 HIGHWAY 76White House, TN 37188-9291
Mailing Address122 Highway 76White House, TN 37188-9291 · (615) 672-6896 · Fax (615) 672-6783
Fax(615) 672-6783
Sole ProprietorNo
Enumeration DateDecember 21, 2006
Last NPPES UpdateMay 2, 2013
NPI 1114081106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in TN · 2276 Licensed in KY · 1510DT
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
122 HIGHWAY 76, White House, TN 37188

Other Identifiers 3

Medicare ID-Type Unspecified3944682TN · Od Pin
Medicaid3944682TN
Medicare UPINU86395TN

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
122 HIGHWAY 76
WHITE HOUSE, TN 37188

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leslie Dehaven's NPI number?

The NPI number for Leslie Dehaven is 1114081106. It was assigned to this individual provider in the NPPES registry on December 21, 2006.

Where is Leslie Dehaven located?

Leslie Dehaven practices at 122 Highway 76, White House, TN 37188. The listed phone number is (615) 672-6896.

What is Leslie Dehaven's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Leslie Dehaven was last updated on May 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.