Individual provider Active NPI

Julie Edney Tullock, O.D.

  • Optometrist
  • Asheville, NC
National Provider Identifier
1295718609
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1403 Issued in NC
Practice address
8 Medical Park Dr
Asheville, NC 28803-2493
Phone
(828) 258-1586
Fax
(828) 258-6161
NPI assigned
Nov 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1403 NC Primary

Addresses

Primary practice location

8 Medical Park Dr
Asheville, NC 28803-2493

Mailing address

8 Medical Park Dr
Asheville, NC 28803-2493
Phone (828) 258-1586

Other identifiers 3

IdentifierTypeStateIssuer
0991MOtherNCBCBS OF NC
2270579OtherNCUNITED HEALTHCARE
890991MMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100303000912 NC Practitioner - Optometry 1052456993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asheville Eye Associates PLLCGroup PAC ID 2466405808, 23 clinicians

Practice addresses (Care Compare)

8 Medical Park Dr
Asheville, NC 28803-2493
Phone (828) 258-1586

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as apm
Quality
77.7
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1403NCMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Asheville Eye Associates PLLC CurrentSince Aug 1, 1996 Accepting new patients
Allergy Partners, PLLC PastSince Aug 1, 1996 Accepting new patients

Locations

8 Medical Park Dr
Asheville, NC 28803
Phone (828) 210-2020

2311 Asheville Hwy
Hendersonville, NC 28791

Interoperability endpoints

  • Direct secure messaging: jtullock@aea.intellechartdirect.net

Organizations & group practices 2

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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1295718609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MEDICAL PARK DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032493",
            "telephone_number": "828-258-1586",
            "fax_number": "828-258-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MEDICAL PARK DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032493",
            "telephone_number": "828-258-1586",
            "fax_number": "828-258-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULLOCK",
        "first_name": "JULIE",
        "middle_name": "EDNEY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "0991M",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2270579",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890991M",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.