LESLIE DEHAVEN (NPI# 1114081106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114081106 |
| Entity Type | Individual |
| Full Name | LESLIE DEHAVEN |
| Credential | OD |
| Practice Address |
122 Highway 76 White House TN 37188-9291 |
| Practice Telephone | 6156726896 |
| Practice Fax Number | 6156726783 |
| Mailing Telephone | 6156726896 |
| Mailing Fax Number | 6156726783 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2013-05-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 1510DT | KY | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 2276 | TN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3944682 | 05 |
| Street Address |
122 HIGHWAY 76 |
| City | WHITE HOUSE |
| State | TN |
| Zip Code | 37188-9291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790793495 | Hank D Dehaven | Optometrist | 122 Highway 76, White House, TN 37188-9291 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909350 | Brandie White | Dentist | 2823 Hwy 31w South Ste 300, White House, TN 37188 | 2020-10-16 |
| 1790336147 | Seven Springs Orthopaedics, PC | Physical Therapist | 707 Highway 76, White House, TN 37188 | 2019-09-26 |
| 1689194623 | Philip B Vickery Frederick L Jones Jr Dba The Smile Center | Dentist | 2823 Hwy 31 W South, White House, TN 37188 | 2017-06-21 |
| 1699213868 | Aaron Pitts | Nurse Practitioner | 305 Skyline Dr, White House, TN 37188 | 2017-02-07 |
| 1609266097 | Blerta Abdi Selden | Dentist | 520 Tn 76, Suite 9, White House, TN 37188 | 2015-01-23 |
| 1538498399 | Elizabeth Price | Nurse Practitioner | 510 West Hwy 76, White House, TN 37188 | 2009-12-08 |
| 1790950020 | Beverly Matthews | Nurse Practitioner | 128 Raymond Hirsch Parkway, Whitehouse, TN 37188 | 2008-04-28 |
| 1417126103 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 222 Wilkinson Lane, White House, TN 37188 | 2008-02-27 |
| 1528249737 | Crossroads Sleep Center,pllc | Clinical Medical Laboratory | 491 Sage Road, Suite 300, White House, TN 37188 | 2007-11-15 |
| 1952596694 | White House Health Care Inc | Assisted Living Facility | 100 Clinton Dr, White House, TN 37188 | 2007-09-06 |
| Find all providers in zip 37188 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841380573 | Ralph W. Simonton IIi | Optometrist | 2823 Highway 31 W. South, White House, TN 37188 | 2006-10-13 |
| 1790793495 | Hank D Dehaven | Optometrist | 122 Highway 76, White House, TN 37188-9291 | 2006-08-04 |
| 1487158762 | Clear Sight Eye Center | Optometrist | 222 Wilkinson Ln, White House, TN 37188-9111 | 2018-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930160 | Maximillian Scott Crockett | Optometrist | James. H Quillen Vamc, Eye Clinic 112e, Mountain Home, TN 37684 | 2020-10-21 |
| 1689272502 | Hayden Matz | Optometrist | 2817 W End Ave Ste 117, Nashville, TN 37203-1481 | 2020-10-13 |
| 1013514207 | Eyecare Plus Th Pllc | Optometrist | 1802 N Jackson St Ste 870, Tullahoma, TN 37388-8237 | 2020-10-01 |
| 1942815832 | National Vision Inc | Optometrist | 210 Paul Huff Pkwy Nw Unit 100, Cleveland, TN 37312-2954 | 2020-09-09 |
| 1912516956 | Mallard Eye Care, LLC | Optometrist | 1334 N Ellington Pkwy # P, Lewisburg, TN 37091-2218 | 2020-07-27 |
| 1619585130 | Caroline Elizabeth Vollberg | Optometrist | 7268 Jarnigan Rd Ste 200, Chattanooga, TN 37421-3097 | 2020-07-21 |
| 1154939742 | Jason Chu | Optometrist | 3343 Aspen Grove Dr Ste 200, Franklin, TN 37067-2908 | 2020-07-20 |
| 1467070656 | Amanda Smith Optometry Pllc | Optometrist | 726 N Locust Ave Ste 2d, Lawrenceburg, TN 38464-2874 | 2020-07-14 |
| 1699393363 | National Vision Inc | Optometrist | 295 New Byhalia Rd, Collierville, TN 38017-3770 | 2020-07-09 |
| 1962029280 | Elise Lou Svennevik | Optometrist | 5554 Franklin Pike Ste 100, Nashville, TN 37220-2131 | 2020-07-02 |
| Find all providers with the same taxonomy | ||||
| City | WHITE HOUSE |
| Zip Code | 37188 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.