DEHAVEN OPTICAL CENTER NPI 1023266863

NPI Information

  • NPI: 1023266863
  • Provider Name: DEHAVEN OPTICAL CENTER
  • Classification: Eyewear Supplier - 332H00000X
  • Entity Type: Organization
  • Other Name: LONESTAR OPTICAL
  • CLIA Number: 45D2277299
  • Address: 908 NORTH PACIFIC
    MINEOLA, TX
    ZIP 75773
  • Phone: (903) 569-9945

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NPI Details

DEHAVEN OPTICAL CENTER is an eyewear supplier in Mineola, TX. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. DEHAVEN OPTICAL CENTER NPI is 1023266863. The provider is registered as an organization entity type.
The provider Other Name Is Lonestar Optical.

The provider's business location address is:

908 NORTH PACIFIC
MINEOLA, TX
ZIP 75773-836
Phone: (903) 569-9945
Fax: (903) 569-9974

The provider's authorized official is Gina Lowndes .
The authorized official title is Financial Service Manager and has the following contact phone number (903) 595-7510.

The CLIA number assigned to this NPI record is 45D2277299 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/5/2008 and was last updated on 4/17/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
2332H00000XEyewear SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1203580001MEDICAIDTEXAS
26198840001MEDICARE NSCTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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