NPI age
19 years
Enumerated 2007-01-22
● Active Type 2 · Organization
Dehaven Eye Clinic PA
Dehaven Eye Clinic PA is 1 of 6676 nurse anesthetist, certified registered organizations in Texas.
Primary specialty
Nurse Anesthetist, Certified Registered
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Lowndes
Financial Service Manager
Last NPPES update
2017-09-18
Source: monthly bulk 2026-05
How this organization compares
Across 6676 active nurse anesthetist, certified registered providers in Texas.
NPI age
19 years
↑ 6 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-01Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
1424 E Front St
Tyler, TX 757028501
Mailing address
Po Box 130639
Tyler, TX 757130639
Authorized official
Gina Lowndes
Financial Service Manager
📞 9035957510
Individual providers at this organization
2 individual providers on file at this primary practice address.
- John Ketcher, O.D. Optometrist NPI 1740594159
- Andrew Yoder, O.D. Optometrist NPI 1144608415
Specialties
-
Nurse Anesthetist, Certified Registered Primary(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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 120728405 | |
| 01 (TX) | 00C25J | BLUE CROSS BLUE SHIELD |
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.