DEHAVEN EYE CLINIC PA NPI 1225037955

NPI Information

  • NPI: 1225037955
  • Provider Name: DEHAVEN EYE CLINIC PA
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Organization
  • Address: 1424 E FRONT ST
    TYLER, TX
    ZIP 75702
  • Phone: (903) 595-4144

Map and Directions

Get Directions

NPI Details

DEHAVEN EYE CLINIC PA is an ophthalmology in Tyler, TX. The provider is 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. DEHAVEN EYE CLINIC PA NPI is 1225037955. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1424 E FRONT ST
TYLER, TX
ZIP 75702-501
Phone: (903) 595-4144
Fax: (903) 526-5491

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 enumeration date for this NPI number is 7/15/2005 and was last updated on 9/18/2017.

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
1207W00000XOphthalmologyYes

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
1CP3305MEDICARE PINTEXAS
200N57AOTHERTEXASBLUE CROSS BLUE SHIELD
3120728402MEDICAIDTEXAS
400N57AMEDICARE PINTEXAS

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI