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Contact Information

JULIE L OWENS OD PA
763 SW MAIN BLVD
LAKE CITY, FL32025
 Phone: 386-752-1722
 Fax: 386-755-1858
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for JULIE L OWENS OD PA · (Female)

NPI Number 1801916077
Status Active
Credentials
Entity Individual
Enumeration date 03/30/2007
Last updated 11/22/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # OPC3507
  • FL Medicaid 620611500
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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