Provider Demographics
NPI:1477128411
Name:DAVEN JOSHI & ASSOCIATES LLC
Entity Type:Organization
Organization Name:DAVEN JOSHI & ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSHI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:214-636-2297
Mailing Address - Street 1:1701 W STATE HIGHWAY 114
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-8652
Mailing Address - Country:US
Mailing Address - Phone:817-251-1091
Mailing Address - Fax:
Practice Address - Street 1:1701 W STATE HIGHWAY 114
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-8652
Practice Address - Country:US
Practice Address - Phone:817-251-1091
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-21
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty