| Organization Name: | LIGHTHOUSE VISION CARE, P.C. |
| NPI Number: | 1235325176 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAYMOND K DEHAAN (OPTOMETRIST/PRESIDENT) |
| Mailing Address: | 310 Stillwell Ave Tillamook |
| State: | OR US |
| Postal Code: | 971412119 |
| Phone Number: | 5038426363 |
| Fax Number: | 5038426204 |
| NPI Enumeration Date: | 09/24/2007 |
| NPI Last Update Date: | 09/24/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WP0200X |
| License Number: | 2858T |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OR |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |