Provider Demographics
NPI:1174767693
Name:JOYES ABRAHAM, O.D.
Entity type:Organization
Organization Name:JOYES ABRAHAM, O.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/
Authorized Official - Prefix:MS
Authorized Official - First Name:JOYES
Authorized Official - Middle Name:K
Authorized Official - Last Name:ABRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:817-488-3165
Mailing Address - Street 1:1601 W STATE HIGHWAY 114
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-8651
Mailing Address - Country:US
Mailing Address - Phone:817-488-3158
Mailing Address - Fax:817-488-3168
Practice Address - Street 1:1601 W STATE HIGHWAY 114
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-8651
Practice Address - Country:US
Practice Address - Phone:817-488-3158
Practice Address - Fax:817-488-3168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-28
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty