Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Joshua Shane Mallon, OD

Individual provider Optometrist · NPI 1265224190

Joshua Shane Mallon, OD is an Optometry in Davie, Florida. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Utah.

Years since qualifying
1
Licensed in
UT
In the registry since
2025
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

3200 S University Dr
Davie, FL 33328-2018
Phone: (954) 262-4200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 14223901-9934 (UT)

Record details

NPI number1265224190
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedMay 19, 2025
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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