Individual provider Active NPI

Julia Jose, OD

  • Optometrist
  • Mesquite, TX
National Provider Identifier
1366010910
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10453 Issued in TX
Practice address
2144 N Belt Line Rd Ste C
Mesquite, TX 75150-5860
Phone
(972) 329-1828
Fax
(972) 329-1622
NPI assigned
Jun 10, 2021
Last updated
Mar 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10453 TX Primary
Optometrist 152W00000X 5926 FL

Addresses

Primary practice location

2144 N Belt Line Rd Ste C
Mesquite, TX 75150-5860

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210629001033 FL Practitioner - Optometry 4385045301 Reassigns benefits to 1 organization
I20220331001026 TX Practitioner - Optometry 4385045301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med Southwest PLLCGroup PAC ID 4082952874, 234 clinicians

Practice addresses (Care Compare)

2144 N Belt Line Rd
Suite C
Mesquite, TX 75150-5860
Phone (972) 329-1828

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5926FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist CurrentSince Apr 11, 2022 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Jun 10, 2021 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist Current Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Jun 10, 2021 Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Apr 11, 2022 Accepting new patients

Locations

5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873

6844 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 603-3479

6446 Lyndon B Johnson Fwy
Dallas, TX 75240
Phone (972) 960-2020

104 E US Highway 80
Ste 100
Forney, TX 75126
Phone (972) 552-2020

2144 N Belt Line Rd
Ste C
Mesquite, TX 75150
Phone (972) 329-1828

610 N Town East Blvd
Ste 100
Mesquite, TX 75150
Phone (972) 279-2020

1090 W Campbell Rd
Richardson, TX 75080
Phone (972) 231-9595

1090 W Campbell Rd
Ste 100
Richardson, TX 75080
Phone (972) 231-9595

2000 N Plano Rd
Ste 111
Richardson, TX 75082
Phone (972) 234-3937

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jjose025035@myeyedr.emadirect.md

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1366010910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2144 N BELT LINE RD STE C",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751505860",
            "telephone_number": "972-329-1828",
            "fax_number": "972-329-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSE",
        "first_name": "JULIA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10453",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "5926",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.