Jonathan Glenn Deshaw, O.D.

Optometrist · Garland, TX

Individual Active NPI

NPI number 1407160815

Practice location

2636 W Walnut St Ste 200
Garland, TX 75042-6441
Phone
(972) 485-0700
Fax
(972) 485-0702

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NPI record

NPI
1407160815
Entity type
Individual (Type 1)
Enumeration date
July 28, 2010
Last updated
July 22, 2011
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 7628TG TX

About Dr. Deshaw

Jonathan Glenn Deshaw, O.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 2636 W Walnut St Ste 200, Garland, TX 75042-6441. The NPI number 1407160815 was assigned on July 28, 2010 and the record was last updated on July 22, 2011.

Dr. Deshaw lists a license in the registry: #7628TG (TX) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jonathan Glenn Deshaw, O.D.?

The NPI number is 1407160815.

What is the phone number of Dr. Deshaw?

The phone number listed for the practice location is (972) 485-0700.

Where is Dr. Deshaw located?

2636 W Walnut St Ste 200, Garland, TX 75042-6441.

What is the taxonomy code for Dr. Deshaw?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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