Individual provider Active NPI

Julie M. Tran-Lockwood, O.D.

  • Optometrist
  • Port Richey, FL
National Provider Identifier
1639377104
Registry record updated Jan 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4594 Issued in FL
Practice address
9409 US Highway 19
#443
Port Richey, FL 34668-4625
Phone
(727) 848-2977
Fax
(727) 844-0769
NPI assigned
Jul 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4594 FL Primary

Addresses

Primary practice location

9409 US Highway 19
#443
Port Richey, FL 34668-4625

Mailing address

9409 US Highway 19
#443
Port Richey, FL 34668-4625
Phone (727) 848-2977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110502000710 FL Practitioner - Optometry 6507951621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Doctors Optical Outlets PAGroup PAC ID 0042123846, 97 clinicians

Practice addresses (Care Compare)

39310 US Hwy 19 N
Tarpon Springs, FL 34689-3986
Phone (727) 756-1220

5607 Johns Rd
Tampa, FL 33634-4499
Phone (813) 385-1873

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC4594FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Mar 9, 2011 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist Current Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Mar 9, 2011 Accepting new patients
Michael J. Davidson, O.D., P.C. Optometrist Past Accepting new patients

Locations

9428 W Colonial Dr
Ocoee, FL 34761
Phone (407) 291-1921

12950 E Colonial Dr
Ste 100
Orlando, FL 32826
Phone (352) 361-5205

8605 US Highway 19
Port Richey, FL 34668
Phone (727) 848-2977

9409 US Highway 19
Ste 443
Port Richey, FL 34668
Phone (727) 848-2977

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

6417 E County Line Rd
Ste 102
Tampa, FL 33647
Phone (813) 315-3085

39310 US Highway 19 N
Tarpon Springs, FL 34689
Phone (727) 756-1220

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

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": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390176000000",
    "number": "1639377104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9409 US HIGHWAY 19",
            "address_2": "#443",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346684625",
            "telephone_number": "727-848-2977",
            "fax_number": "727-844-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9409 US HIGHWAY 19",
            "address_2": "#443",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346684625",
            "telephone_number": "727-848-2977",
            "fax_number": "727-844-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN-LOCKWOOD",
        "first_name": "JULIE",
        "middle_name": "M.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2014-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Richey, FL

Sources for this page

Verify at the official NPI Registry.