Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LESLIE DEHAVEN, OD
ActiveLESLIE DEHAVEN, OD is a Optometrist healthcare provider located in WHITE HOUSE, Tennessee. NPI 1114081106 is currently active in the NPPES registry. Verify at CMS.
Optometrist · WHITE HOUSE, TN
Registration Details
- NPI Number
- 1114081106
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 21, 2006 (19.661086286833 yrs)
- Last Updated
- May 2, 2013
- Licenses
-
2276 (TN)1510DT (KY)
Practice Information
- Address
-
122 HIGHWAY 76WHITE HOUSE, TN, 371889291Browse TN providers · Browse ZIP 37188
- Phone
- 6156726896
- Fax
- 6156726783
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in WHITE HOUSE, TN
| Name | Credential | NPI |
|---|---|---|
| DR. HANK D DEHAVEN | O.D. | 1790793495 |
| MR. RALPH W. SIMONTON III | O.D. | 1841380573 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.