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JONATHAN GLENN DESHAW O.D.
NPI 1407160815
Optometrist in Garland, TX

Active since July 28, 2010PECOS EnrolledAccepts Medicare Assignment
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 22, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jonathan Glenn Deshaw O.d. NPPES

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

JONATHAN GLENN DESHAW O.D. (NPI 1407160815) is an individual optometrist in Garland, Texas, licensed in Texas (7628TG) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (2010).

NPPES Registry Identity

NPI1407160815
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJONATHAN GLENN 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
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 2010
Enumeration DateJuly 28, 2010
Last NPPES UpdateJuly 22, 2011
✔ NPI 1407160815 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 · 7628TG
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 STE 200, Garland, TX 75042
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathan Glenn Deshaw O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789863218
PECOS Enrollment IDI20110128000837
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.

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 Jonathan Deshaw's NPI number?

The NPI number for Jonathan Deshaw is 1407160815. It was assigned to this individual provider in the NPPES registry on July 28, 2010.

Where is Jonathan Deshaw located?

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

What is Jonathan Deshaw's specialty?

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

Is Jonathan Deshaw enrolled in Medicare?

Yes. Jonathan Deshaw is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jonathan Deshaw accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 9 other insurers list Jonathan 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 Jonathan Deshaw was last updated on July 22, 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.