Active NPI
Alan R. Julien, O.D.
- Optometrist
- Turlock, CA
National Provider Identifier
1366447633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5409T
- Practice address
- 2020 Colorado Ave
Ste a
Turlock, CA 95382-2002 - Phone
- (209) 667-6211
- Fax
- (209) 667-2574
- NPI assigned
- Jun 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5409T | CA | Primary |
Addresses
Primary practice location
2020 Colorado Ave
Ste a
Turlock, CA 95382-2002
Mailing address
2020 Colorado Ave
Ste a
Turlock, CA 95382-2002
Phone (209) 667-6211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0054090 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5409T | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332460800000",
"number": "1366447633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 COLORADO AVE",
"address_2": "STE A",
"city": "TURLOCK",
"state": "CA",
"postal_code": "953822002",
"telephone_number": "209-667-6211",
"fax_number": "209-667-2574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 COLORADO AVE",
"address_2": "STE A",
"city": "TURLOCK",
"state": "CA",
"postal_code": "953822002",
"telephone_number": "209-667-6211",
"fax_number": "209-667-2574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JULIEN",
"first_name": "ALAN",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-14",
"last_updated": "2012-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "5409T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0054090",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Turlock, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.