Julie Ann Wright, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT001626 Issued in GA

Practice address

1891 Ga Highway 40 E
Suite 1108
Kingsland, GA 31548-6527

Phone

(912) 576-8980

Fax

(912) 576-8842

NPI assigned

Apr 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Optometry

Education

Southern College of Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Russell Stackhouse MD PAGroup PAC ID 9133473325, 13 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wright Eye Care, P.C.

  • Optometrist
  • Kingsland, GA
  • NPI 1780773697
  Medicare reassignment NPD Authorized official
• Russell Stackhouse MD PA

  • Ophthalmology Physician
  • Fernandina, FL
  • NPI 1538655014

  GA

  Medicare reassignment Care Compare group NPD
• Vision Masters, P.C.

  • Optometrist
  • Saint Marys, GA
  • NPI 1063693034
  NPD (past)

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1457314320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1891 GA HIGHWAY 40 E",
            "address_2": "SUITE 1108",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486527",
            "telephone_number": "912-576-8980",
            "fax_number": "912-576-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1891 GA HIGHWAY 40 E",
            "address_2": "SUITE 1108",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486527",
            "telephone_number": "912-576-8980",
            "fax_number": "912-576-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00765047B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP #",
            "identifier": "DG7793",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "410049677",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "41ZCFGF",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Audra Whiting, LPN
• Barbara Williams
• Kelvin Tyrone Williams Sr.
• Willis R Keene MD PC
• Wright Eye Care, P.C.

• Optometrist in Kingsland, GA
• Providers in Kingsland, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.