| Leslie Dehaven, OD | |
|
122 Highway 76, White House, TN 37188-9291 | |
| (615) 672-6896 | |
| (615) 672-6783 |
| Full Name | Leslie Dehaven |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 122 Highway 76, White House, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114081106 | NPI | - | NPPES |
| 3944682 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2276 (Tennessee) | Primary |
| 152W00000X | Optometrist | 1510DT (Kentucky) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Dehaven, OD 122 Highway 76, White House, TN 37188-9291 Ph: (615) 672-6896 | Leslie Dehaven, OD 122 Highway 76, White House, TN 37188-9291 Ph: (615) 672-6896 |
Clear Sight Eye Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 222 Wilkinson Ln, White House, TN 37188 Phone: 615-672-3312 Fax: 615-672-9278 | |
Dr. Hank D Dehaven, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 122 Highway 76, White House, TN 37188 Phone: 615-672-6896 Fax: 615-672-6783 | |
Mr. Ralph W. Simonton Iii, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2823 Highway 31 W. South, White House, TN 37188 Phone: 615-672-4683 Fax: 615-672-4643 |