Individual provider Active NPI

Julie Ross Durand, M.D.

  • Ophthalmology Physician
  • Maryville, TN
National Provider Identifier
1174592984
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
021360 Issued in TN
Practice address
622 Smithview Dr
Maryville, TN 37803-6100
Phone
(865) 681-1234
Fax
(865) 982-9746
NPI assigned
Mar 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 021360 TN Primary

Addresses

Primary practice location

622 Smithview Dr
Maryville, TN 37803-6100

Mailing address

1932 Alcoa Hwy Ste 255
Knoxville, TN 37920-1508
Phone (865) 220-2030

Other identifiers 7

IdentifierTypeStateIssuer
100037646OtherPHP
1265110OtherCIGNA
4100385OtherAETNA
TN0113OtherJOHN DEERE
4097416OtherBLUE CROSS BLUE SHIELD
0943434OtherUNITED HEALTHCARE
3333333OtherUMWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050106001012 TN Practitioner - Ophthalmology 8426006396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical University of South Carolina College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Eye Specialists, P.C.Group PAC ID 0941278709, 15 clinicians

Practice addresses (Care Compare)

1932 Alcoa Hwy
Knoxville, TN 37920-1505

1932 Alcoa Hwy
Suite C255
Knoxville, TN 37920-1508
Phone (865) 244-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
021360TNMDOphthalmology Physician

Interoperability endpoints

  • Direct secure messaging: jdurand@universityeye.direct.eyemdemr.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1174592984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 ALCOA HWY STE 255",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201508",
            "telephone_number": "865-220-2030",
            "fax_number": "865-684-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 SMITHVIEW DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378036100",
            "telephone_number": "865-681-1234",
            "fax_number": "865-982-9746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURAND",
        "first_name": "JULIE",
        "middle_name": "ROSS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "021360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "100037646",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1265110",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4100385",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "TN0113",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4097416",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0943434",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "3333333",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

Verify at the official NPI Registry.