Provider Demographics
NPI:1114340197
Name:DEEGAN EYE CARE PLLC
Entity Type:Organization
Organization Name:DEEGAN EYE CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOCELYN
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:DEEGAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:281-347-9915
Mailing Address - Street 1:23645 KATY FREEWAY
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494
Mailing Address - Country:US
Mailing Address - Phone:281-347-9915
Mailing Address - Fax:281-347-9916
Practice Address - Street 1:23645 KATY FREEWAY
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494
Practice Address - Country:US
Practice Address - Phone:281-347-9915
Practice Address - Fax:281-347-9916
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-28
Last Update Date:2014-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8205T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty