Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1992853444 Deactivated / Inactive NPI Male Practitioner

Dr. Isaac Chine De Jenga , OD

Optometrist • Tyler, TX

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Isaac De Jenga has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 08, 2007
NPI Deactivation Date June 12, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Isaac De Jenga, OD was a registered Optometrist practicing in Tyler, TX. Throughout an active medical career spanning 17 years, Dr. De Jenga provided care at the practice location at 3820 STATE HIGHWAY 64 W until profile deactivation on 2024-06-12.

Practice Location & Contact Primary Location

Practice Address

3820 State Highway 64 W

Tyler, TX 757046924

Telephone 9035263937
Associated Practice Facility / Clinic
🏢 Wal-Mart Stores Texas Llc Facility NPI 1033136288

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Tyler, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.8 Yrs
State Avg: 19.5 Yrs
Regional Practice Density
40 Specialists

Practicing in Tyler, TX (5156 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License TX 6165 T

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1053630012

Registered Pharmacist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated June 12, 2024

Record deactivated on June 12, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3820 STATE HIGHWAY 64 W, TYLER, TX 757046924 (Tel: 9035263937)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3820 STATE HIGHWAY 64 W, TYLER, TX 757046924 (Tel: 9035263937)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ISAAC DE JENGA, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #6165 T in TX)

🟢
Initial NPI Registration & Enumeration January 08, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Isaac De Jenga. Be the first to share your experience!

Sign in to leave a review for Dr. Isaac De Jenga

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1992853444
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 08, 2007
Last Update: July 08, 2007
Deactivation Date: June 12, 2024

Mailing Address

3820 State Highway 64 W

Tyler, TX 757046924

Phone: 9035263937

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.