Provider Demographics
NPI:1861725475
Name:DEEGAN, JOCELYN KAY (OD)
Entity type:Individual
Prefix:DR
First Name:JOCELYN
Middle Name:KAY
Last Name:DEEGAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:JOCELYN
Other - Middle Name:KAY
Other - Last Name:HUNERDOSSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
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
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-14
Last Update Date:2014-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC4446152W00000X
TX8205T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist