# JEEVANPRE K. JOWHAL, O.D., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730316514
- **Authorized official:** DR. JEEVANPRE K. JOWHAL O.D. (OWNER)
- **Authorized official phone:** (305) 467-4039

## Contact information

- **Practice address:** 19129 BISCAYNE BLVD, AVENTURA, FL 33180-2310
- **Practice address phone:** (305) 792-4303
- **Practice address fax:** (305) 792-5803
- **Mailing address:** 19655 E COUNTRY CLUB DR, \#504, AVENTURA, FL 33180-4803
- **Mailing address phone:** (305) 467-4039

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC3479 | FL | Yes |

## Other

- **Enumeration date:** 06/18/2009
- **Last updated:** 07/29/2009