GLENN GORDON DESHAW (NPI# 1346284643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346284643 |
| Entity Type | Individual |
| Full Name | GLENN GORDON DESHAW |
| Credential | O.D. |
| Practice Address |
2636 W Walnut St Ste 200 Garland TX 75042-6441 |
| Practice Telephone | 9724850700 |
| Practice Fax Number | 9724850702 |
| Mailing Telephone | 9724850700 |
| Mailing Fax Number | 9724850702 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2011-07-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2204TG | TX | Eye and Vision Services Providers |
| Street Address |
2636 W WALNUT ST STE 200 |
| City | GARLAND |
| State | TX |
| Zip Code | 75042-6441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497701528 | Old Northeast Dallas Family Medical Association, P.a. | Chiropractor | 2636 W Walnut St, Garland, TX 75042-6441 | 2006-05-26 |
| 1912569708 | Sheree-dawn Rivera | Nurse Practitioner | 2636 W Walnut St, Garland, TX 75042-6485 | 2019-07-02 |
| 1306372347 | Carmelina Marin | Physician Assistant | 2636 W Walnut St, Garland, TX 75042-6485 | 2017-05-11 |
| 1265762363 | Glenn G Deshaw Od Pa | Optometrist | 2636 W Walnut St, Ste. 200, Garland, TX 75042-6441 | 2010-01-12 |
| 1093929507 | Emmanuel Azu Omehe | Pharmacist | 2636 W Walnut St, Ste 300, Garland, TX 75042-6441 | 2007-05-10 |
| 1811081490 | Maria Esther Solares | Physician Assistant | 2636 W Walnut St, Garland, TX 75042 | 2006-10-03 |
| 1720015167 | Ngoc-oanh Nguyen-tong | Chiropractor | 2636 W Walnut St, Garland, TX 75042-6441 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699259697 | Abiodun Gloria Irabor-musa | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3106 Centennial Dr, Garland, TX 75042 | 2018-09-17 |
| 1356870620 | Brad Taylor Landrum | Family Medicine | 601 Clara Barton Blvd., Suite 340, Garland, TX 75042 | 2017-06-08 |
| 1043662034 | Alicia Valdiviezo | Physician Assistant | 2046 Forest Ln Ste 130, Garland, TX 75042 | 2016-07-01 |
| 1053711184 | Jamette Hickman | Physical Therapist | 705 Walter Reed Blvd Suite 100, Garland, TX 75042 | 2014-08-26 |
| 1619397932 | Saint Catherine Hospice Inc. | Hospice, Inpatient | 4229 Glenhaven Drive, Garland, TX 75042 | 2014-04-25 |
| 1821424094 | Angel Care Team | Adult Companion | 1801 Evelyn Dr., Garland, TX 75042 | 2013-09-19 |
| 1427311042 | Baylor Family Medicine Clinic | Case Manager/Care Coordinator | 601 Clara Barton, 340, Garland, TX 75042 | 2012-06-19 |
| 1003176959 | Benedict Eric Homer | Dentist | 813 North Jupiter Rd., Garland, TX 75042 | 2012-05-25 |
| 1518254929 | Rama Sulochana Narla | Emergency Medicine | 601, Clara Barton Blvd, Ste 340, Garland, TX 75042 | 2011-07-06 |
| 1093002917 | Mecca Group | Community/Behavioral Health | 1213 Patricia Ln, Garland, TX 75042 | 2011-06-29 |
| Find all providers in zip 75042 | ||||
| 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 |
|---|---|---|---|---|
| 1407463326 | Gateway Eye Center LLC | Optometrist | 5502 Broadway Blvd, Garland, TX 75043-3639 | 2020-09-24 |
| 1730737206 | Mel Garland 1 LLC | Optometrist | 4280 Lavon Dr Ste 236b, Garland, TX 75040-2971 | 2019-08-28 |
| 1619522281 | Anseh Babaei | Optometrist | 485 Cedar Sage Drive, Garland, TX 75040-2950 | 2019-08-09 |
| 1609398486 | Ashley Nicole Olivarez | Optometrist | 325 N Shiloh Rd # 103, Garland, TX 75042-6610 | 2017-07-12 |
| 1972990901 | Turnpike Vision, PC | Optometrist | 485 Cedar Sage Space J13, Garland, TX 75040 | 2015-04-16 |
| 1710250337 | Nghia Thanh Tran | Optometrist | 1517 Hill Creek Dr, Garland, TX 75043-7591 | 2012-02-13 |
| 1407160815 | Jonathan Glenn Deshaw | Optometrist | 2636 W Walnut St Ste 200, Garland, TX 75042-6441 | 2010-07-28 |
| 1316250673 | Truong Thanh Phan | Optometrist | 110 Cedar Sage Dr # C15, Garland, TX 75040-2943 | 2010-07-15 |
| 1912139551 | Biraju S. Patel | Optometrist | 3130 Ridgemoor Dr, Garland, TX 75044-6518 | 2009-08-16 |
| 1356594436 | Michael Stewart Od Pllc | Optometrist | 3046 Lavon Dr. Ste 130, Garland, TX 75040 | 2008-11-03 |
| Find all providers in GARLAND | ||||
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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.