Provider Demographics
NPI:1851377352
Name:VARUGHESE, JOYES ABRAHAM (OD)
Entity type:Individual
Prefix:MRS
First Name:JOYES
Middle Name:ABRAHAM
Last Name:VARUGHESE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:MISS
Other - First Name:JOYES
Other - Middle Name:K
Other - Last Name:ABRAHAM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:JOYES ABRAHAM, OD
Mailing Address - Street 1:1213 E TRINITY MILLS RD
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-1446
Mailing Address - Country:US
Mailing Address - Phone:214-483-9613
Mailing Address - Fax:214-483-9616
Practice Address - Street 1:1213 E TRINITY MILLS RD
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-1446
Practice Address - Country:US
Practice Address - Phone:214-483-9613
Practice Address - Fax:214-483-9616
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-16
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX06126T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX911601OtherCOLE VISION