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DEHAVEN EYE CLINIC PA
NPI 1225037955
Ophthalmology in Tyler, TX

Active since July 15, 2005
1424 E FRONT ST, TYLER, TX 75702(903) 595-4144(903) 526-5491 Get Directions Write a Review

NPPES record last updated: September 18, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dehaven Eye Clinic Pa NPPES

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

DEHAVEN EYE CLINIC PA (NPI 1225037955) is a healthcare organization registered as an ophthalmology in Tyler, Texas and active in the NPI registry since July 2005. The organization lists Gina Lowndes, Financial Service Manager, as its authorized official.

NPPES Registry Identity

NPI1225037955
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameDEHAVEN EYE CLINIC PA
Location Address1424 E FRONT STTyler, TX 75702-8501
Mailing AddressPo Box 130639Tyler, TX 75713-0639 · (903) 595-7508 · Fax (903) 526-5491
Phone(903) 595-4144
Fax(903) 526-5491
Organization SubpartNo
Authorized OfficialGina LowndesFinancial Service Manager · (903) 595-7510
Enumeration DateJuly 15, 2005
Last NPPES UpdateSeptember 18, 2017
✔ NPI 1225037955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
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 includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1424 E FRONT ST, Tyler, TX 75702
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Other Identifiers 4

Medicare PINCP3305TX
Other00N57ATX · Blue Cross Blue Shield
Medicaid120728402TX
Medicare PIN00N57ATX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

MR. ANDREW D. YODER O.D.
Optometrist
1424 E FRONT ST, DEHAVEN EYE CLINIC, PA
TYLER, TX 75702
Smith County (903) 595-4144
CHRISTUS TRINITY CLINIC
Ophthalmology
1424 E FRONT ST
TYLER, TX 75702
Smith County (903) 595-4144
JOHN MAGNUS KETCHER O.D.
Optometrist
1424 E FRONT ST
TYLER, TX 75702
Smith County (903) 595-4144
DEHAVEN EYE CLINIC PA
Nurse Anesthetist, Certified Registered
1424 E FRONT ST
TYLER, TX 75702
Smith County (903) 595-4144

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 Dehaven Eye Clinic PA's NPI number?

The NPI number for Dehaven Eye Clinic PA is 1225037955. It was assigned to this organization in the NPPES registry on July 15, 2005.

Where is Dehaven Eye Clinic PA located?

Dehaven Eye Clinic PA is located at 1424 E Front St, Tyler, TX 75702. The listed phone number is (903) 595-4144.

What is Dehaven Eye Clinic PA's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Dehaven Eye Clinic PA was last updated on September 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.