Provider Demographics
NPI:1720391626
Name:HALLUMS, DAWN DEANN (OD)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:DEANN
Last Name:HALLUMS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:DEANN
Other - Last Name:RIORDAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3143 OAKWOOD RUN DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-7396
Mailing Address - Country:US
Mailing Address - Phone:727-365-3399
Mailing Address - Fax:
Practice Address - Street 1:53336-1 DRUM SONG TRAIL
Practice Address - Street 2:
Practice Address - City:FORT CAVAZOS
Practice Address - State:TX
Practice Address - Zip Code:76544
Practice Address - Country:US
Practice Address - Phone:727-365-3399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-20
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8360-T152W00000X
FLOPC4573152W00000X
HIOD727152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist