Provider Demographics
NPI:1356534796
Name:HAWES, DEBORAH LEIGH (OD)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:LEIGH
Last Name:HAWES
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81-673 U.S. HIGHWAY 111
Mailing Address - Street 2:
Mailing Address - City:INDIO
Mailing Address - State:CA
Mailing Address - Zip Code:92201
Mailing Address - Country:US
Mailing Address - Phone:760-342-9808
Mailing Address - Fax:760-347-9232
Practice Address - Street 1:81673 US HIGHWAY 111
Practice Address - Street 2:#3A
Practice Address - City:INDIO
Practice Address - State:CA
Practice Address - Zip Code:92201-5488
Practice Address - Country:US
Practice Address - Phone:760-342-9808
Practice Address - Fax:760-347-9232
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-20
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18736152W00000X, 156FC0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FC0801XEye and Vision Services ProvidersTechnician/TechnologistContact Lens Fitter
No152W00000XEye and Vision Services ProvidersOptometrist