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GLENN GORDON DESHAW O.D.
NPI 1346284643
Optometrist in Garland, TX

Active since June 16, 2006PECOS Enrolled
2636 W WALNUT ST, STE 200, GARLAND, TX 75042(972) 485-0700(972) 485-0702 Get Directions Write a Review

NPPES record last updated: July 21, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Glenn Gordon Deshaw O.d. NPPES

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

GLENN GORDON DESHAW O.D. (NPI 1346284643) is an individual optometrist in Garland, Texas, licensed in Texas (2204TG) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346284643
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameGLENN GORDON DESHAWCredential: O.D.
Location Address2636 W WALNUT ST, STE 200Garland, TX 75042-6441
Mailing Address2636 W Walnut St, Ste 200Garland, TX 75042-6441 · (972) 485-0700 · Fax (972) 485-0702
Phone(972) 485-0700
Fax(972) 485-0702
Sole ProprietorYes
Enumeration DateJune 16, 2006
Last NPPES UpdateJuly 21, 2011
✔ NPI 1346284643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in TX · 2204TG
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.
2636 W WALNUT ST, Garland, TX 75042
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Other Identifiers 1

Medicare UPINU44935

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glenn Gordon Deshaw O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

CHRISTINA BRINK
Nurse Practitioner (Family)
2636 W WALNUT ST
GARLAND, TX 75042
Dallas County (972) 487-5800
MR. EMMANUEL AZU OMEHE BACHELOR OF PHARMACY
Pharmacist
2636 W WALNUT ST, STE 300
GARLAND, TX 75042
Dallas County (214) 703-9000
GLENN G DESHAW OD PA
Optometrist
2636 W WALNUT ST, STE. 200
GARLAND, TX 75042
Dallas County (972) 485-0700
CARMELINA MARIN PA-C
Physician Assistant
2636 W WALNUT ST
GARLAND, TX 75042
Dallas County (972) 487-5800
SASIWAN W KAMTHONG F.N.P.
Nurse Practitioner (Family)
2636 W WALNUT ST
GARLAND, TX 75042
Dallas County (972) 487-5800
MACKENZIE MAUSS DNP
Nurse Practitioner (Family)
2636 W WALNUT ST
GARLAND, TX 75042
Dallas County (972) 487-5800
NGOC-OANH NGUYEN-TONG D.C.
Chiropractor
2636 W WALNUT ST
GARLAND, TX 75042
Dallas County (972) 487-5800
PEDRO GUERRA NP-C
Nurse Practitioner
2636 W WALNUT ST
GARLAND, TX 75042
Dallas County (972) 487-5800

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 Glenn Deshaw's NPI number?

The NPI number for Glenn Deshaw is 1346284643. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Glenn Deshaw located?

Glenn Deshaw practices at 2636 W Walnut St Ste 200, Garland, TX 75042. The listed phone number is (972) 485-0700.

What is Glenn Deshaw's specialty?

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

Is Glenn Deshaw enrolled in Medicare?

Yes. Glenn Deshaw is registered in the Medicare PECOS enrollment system.

What insurance does Glenn Deshaw accept?

Health plans from Blue Cross and Blue Shield of Texas list Glenn Deshaw as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Glenn Deshaw was last updated on July 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.