Provider Demographics
NPI:1750386785
Name:SHOWS, JOSHUA FOREST (OD)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:FOREST
Last Name:SHOWS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1770 N PARHAM RD STE 101
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23229-4658
Mailing Address - Country:US
Mailing Address - Phone:804-935-7700
Mailing Address - Fax:804-794-9216
Practice Address - Street 1:1770 N PARHAM RD STE 101
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23229-4658
Practice Address - Country:US
Practice Address - Phone:804-935-7700
Practice Address - Fax:804-935-7704
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618001166152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA103407OtherANTHEM BC/BS ID
VAU98474Medicare UPIN
VA190000945Medicare ID - Type Unspecified