Individual
DR. HANK D DEHAVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
122 HIGHWAY 76, WHITE HOUSE, TN 37188-9291
(615) 672-6896
(615) 672-6783
Mailing address
122 HIGHWAY 76, WHITE HOUSE, TN 37188-9291
(615) 672-6896
(615) 672-6783
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2277
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3945747
—
TN
01
—
4108253
BLUE CROSS BLUE SHIELD TN
TN
01
—
6537319
CIGNA
TN
Enumeration date
08/04/2006
Last updated
07/08/2007
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