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DEHAVEN EYE CLINIC PA
NPI 1972657773
Nurse Anesthetist, Certified Registered in Tyler, TX

Active since January 22, 2007
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.

Record update history: Sep 18, 2017, Aug 15, 2016 (2 updates tracked since 2016).

About Dehaven Eye Clinic Pa NPPES

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

DEHAVEN EYE CLINIC PA (NPI 1972657773) is a healthcare organization registered as a nurse anesthetist, certified registered in Tyler, Texas and active in the NPI registry since January 2007. The organization lists Gina Lowndes, Financial Service Manager, as its authorized official.

NPPES Registry Identity

NPI1972657773
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameDEHAVEN EYE CLINIC PA
Location Address1424 E FRONT STTyler, TX 75702-8501
Mailing AddressPo Box 130639Tyler, TX 75713-0639 · (903) 595-4144 · Fax (903) 526-5491
Phone(903) 595-4144
Fax(903) 526-5491
Organization SubpartNo
Authorized OfficialGina LowndesFinancial Service Manager · (903) 595-7510
Enumeration DateJanuary 22, 2007
Last NPPES UpdateSeptember 18, 20172 updates tracked since enumeration
✔ NPI 1972657773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1424 E FRONT ST, Tyler, TX 75702
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Other Identifiers 4

Medicaid120728405TX
Other00C25JTX · Blue Cross Blue Shield
Medicare PINCP3305TX
Medicare PIN00C25JTX

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
DEHAVEN EYE CLINIC PA
Ophthalmology
1424 E FRONT ST
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

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 1972657773. It was assigned to this organization in the NPPES registry on January 22, 2007.

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 Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

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.