1. Home
  2. Directory
  3. Florida
  4. Davie
  5. Optometrist
  6. NPI Profile

JOSHUA SHANE MALLON OD
NPI 1265224190
Optometrist in Davie, FL

Active since May 19, 2025PECOS Enrolled
3200 S UNIVERSITY DR, DAVIE, FL 33328(954) 262-4200 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 28, 2025, May 19, 2025 (2 updates tracked since 2025).

About Joshua Shane Mallon Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSHUA SHANE MALLON OD (NPI 1265224190) is an individual optometrist in Davie, Florida, licensed in Utah (14223901-9934) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1265224190
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJOSHUA SHANE MALLONCredential: OD
Location Address3200 S UNIVERSITY DRDavie, FL 33328-2018
Mailing Address3200 S University DrDavie, FL 33328-2018
Phone(954) 262-4200
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMay 19, 2025
Last NPPES UpdateMay 28, 20252 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
✔ NPI 1265224190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in UT · 14223901-9934
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
3200 S UNIVERSITY DR, Davie, FL 33328
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joshua Shane Mallon Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840798807
PECOS Enrollment IDI20250808002056
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33328 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NADINE M GIRGIS - HANNA O.D.
Optometrist
3200 S UNIVERSITY DR
DAVIE, FL 33328
Broward County (954) 262-1728
MOBILEDERM, INC.
Dermatology
3200 S UNIVERSITY DR
DAVIE, FL 33328
Broward County (954) 970-5824
ROJIN FATIRKHORANI DO
Student in an Organized Health Care Education/Training Program
3200 S UNIVERSITY DR
DAVIE, FL 33328
Broward County (954) 262-1300
DR. MICHAEL NICOLAE GEORGESCU D.M.D.
Dentist (General Practice)
3200 S UNIVERSITY DR
DAVIE, FL 33328
Broward County (954) 262-1835
JOEL MELVIN HAUPTMAN DDS
Dentist (Prosthodontics)
3200 S UNIVERSITY DR
DAVIE, FL 33328
Broward County (954) 262-1909
DR. ANTONIO GODOY DDS., MS.
Dentist (Prosthodontics)
3200 S UNIVERSITY DR
DAVIE, FL 33328
Broward County (954) 262-1908
SHIVA KHATAMI D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
3200 S UNIVERSITY DR
DAVIE, FL 33328
Broward County (954) 262-7500
MS. KAREN S. BASEDOW RD
Dietitian, Registered
3200 S UNIVERSITY DR
DAVIE, FL 33328
Broward County (954) 262-4100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joshua Mallon's NPI number?

The NPI number for Joshua Mallon is 1265224190. It was assigned to this individual provider in the NPPES registry on May 19, 2025.

Where is Joshua Mallon located?

Joshua Mallon practices at 3200 S University Dr, Davie, FL 33328. The listed phone number is (954) 262-4200.

What is Joshua Mallon's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Joshua Mallon enrolled in Medicare?

Yes. Joshua Mallon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Joshua Mallon was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.