Julie A Demaree, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1630AT Issued in OR

Practice address

4704 SE Hawthorne Blvd
Portland, OR 97215

Phone

(503) 235-6639

Fax

(503) 235-2263

NPI assigned

Jan 30, 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Hawthorne Vision Center PC

  • Optometrist
  • Portland, OR
  • NPI 1770699860
  NPD (past)
• Uptown Eyecare & Optical, P.C.

  • Optometrist
  • Portland, OR
  • NPI 1184812570
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510876800000",
    "number": "1508837337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 12TH ST STE A",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970319540",
            "telephone_number": "541-386-1700",
            "fax_number": "541-386-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4704 SE HAWTHORNE BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97215",
            "telephone_number": "503-235-6639",
            "fax_number": "503-235-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMAREE",
        "first_name": "JULIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2017-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1630AT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BCBS",
            "identifier": "067961001",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIWEST",
            "identifier": "97215A003",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renee Julia Lawson Demallie, RDH, EPDH
• Brent Demanby, PA-C
• Deborah Lynn Demarco, LPC
• Emily Tess Demarco, MD
• Heather Demarco, PHARM.D.
• Victoria Susan Demarest
• Torrey A Demaris
• Susan Demarkey
• Julia A Demarre
• Ronald V Demars, MD

• Optometrist in Portland, OR
• Providers in Portland, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.