Glenn G Deshaw Od Pa

LBN: Glenn G Deshaw Od Pa
Glenn G Deshaw Od Pa is an health care organization with primary practice located at 2636 W Walnut St Ste. 200, Garland TX 75042-6441. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Glenn G Deshaw Od Pa can be contacted via phone (972) 485-0700, or through Deshaw, Jonathan via phone (972) 485-0700.

Contact Information

Primary practice address
2636 W Walnut St Ste. 200 Garland TX 75042-6441
Fax: (972) 485-0702
Website:
Authorized official contact:
Name: Deshaw, Jonathan Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1265762363
LBN Legal business name Glenn G Deshaw Od Pa
DBA Doing business as
Authorized official Deshaw, Jonathan Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2010
Last updated Jun 4th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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