Provider Demographics
NPI:1093858136
Name:GARRETT, JOSHUA DWAIN (OD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:DWAIN
Last Name:GARRETT
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5044 REPUBLIC AVE
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-7674
Mailing Address - Country:US
Mailing Address - Phone:615-624-2457
Mailing Address - Fax:615-203-3893
Practice Address - Street 1:4144 FRANKLIN RD
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37128-1661
Practice Address - Country:US
Practice Address - Phone:615-410-4422
Practice Address - Fax:615-203-3893
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2598152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist