Josealix Daverman OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC3885

Legal business name

JOSEALIX DAVERMAN OD PA

Practice address

5920 W Sample Rd # 105-7
Coral Springs, FL 33067-3251

Phone

(954) 249-7548

NPI assigned

Feb 2, 2011

Last updated

Feb 2, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Josealix Daverman, O.D.

Title

President

Phone

(954) 249-7548

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dimitri Garcon, DO

  • Optician
  • Hollywood, FL
  • NPI 1730381708
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1649576059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6841 MIRAMAR PKWY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330236023",
            "telephone_number": "954-967-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 W SAMPLE RD # 105-7",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330673251",
            "telephone_number": "954-249-7548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEALIX DAVERMAN OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-02",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "DAVERMAN",
        "authorized_official_first_name": "JOSEALIX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-249-7548",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": "OPC3885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9195136",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2775155",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELDS",
            "identifier": "36141",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "FL3885",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fay Jones, M.A., CCC-SLP
• Jordan Medical Billing, LLC
• Jorge Donoso,DDS,Ms (Advanced Orthodontics, INC)
• Helga Jorge
• Kevin Nalonnil Jose
• Joseph J. Cimino, Psy.D., P.a.
• Andely Joseph
• Chedler Joseph, NP
• Sandra Santana Joseph, APRN
• Savina Joseph

• Optometrist in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.