Individual provider Active NPI

Julie Lynn Owens, OD

  • Optometrist
  • Lake City, FL
National Provider Identifier
1750364063
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3507 Issued in FL
Practice address
763 SW Main Blvd
Lake City, FL 32025-5791
Phone
(386) 752-1722
Fax
(386) 755-1858
NPI assigned
Nov 22, 2005
Last updated
Jan 18, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3507 FL Primary

Addresses

Primary practice location

763 SW Main Blvd
Lake City, FL 32025-5791

Mailing address

763 SW Main Blvd
Lake City, FL 32025-5791
Phone (386) 752-1722

Other identifiers 1

IdentifierTypeStateIssuer
620611500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 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
I20101130000218 FL Practitioner - Optometry 5294921417 Reassigns benefits to 7 organizations
I20241018002436 NY Practitioner - Optometry 5294921417 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011057NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Eye Institute, PA Optometrist CurrentSince Jun 23, 2023 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Current Accepting new patients
Family First Vision Care, PLLC Optometrist CurrentSince Apr 1, 2024 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist Current Accepting new patients
Gregory L Henderson MD Facs Inc CurrentSince Mar 21, 2025 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Jan 1, 2024 Accepting new patients
Gregory L Henderson MD Facs Inc Optometrist Current Accepting new patients
Central Florida Health Care, Inc. Current Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Jan 1, 2024 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Jun 29, 2023 Accepting new patients
Empire Vision Center, Inc CurrentSince Aug 8, 2024 Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Aug 8, 2024 Accepting new patients
Central Florida Health Care, Inc. CurrentSince Apr 27, 2024 Accepting new patients
Central Florida Health Care, Inc CurrentSince Apr 27, 2024 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Jun 29, 2023 Accepting new patients
South Florida Vision Services, Inc. Optometrist CurrentSince Jul 6, 2023 Accepting new patients
Gregory L Henderson MD Facs Inc Optometrist CurrentSince Mar 21, 2025 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Past Accepting new patients
Mary M Futch OD PA Optometrist PastSince Jun 10, 2001 Accepting new patients
Eye Doctors Optical Outlets, PA Optometrist Past Accepting new patients

Locations

3011 W Yamato Rd
Ste A19
Boca Raton, FL 33434
Phone (561) 995-9600

135 W Robertson St
Fl Eye
Brandon, FL 33511
Phone (813) 681-1122

403 Vonderburg Dr
Brandon, FL 33511
Phone (813) 681-1122

2140 Crawfordville Hwy
Crawfordville, FL 32327
Phone (850) 926-9213

2305 Oleander Blvd
Fort Pierce, FL 34982
Phone (772) 465-6616

109 W Wall St
Frostproof, FL 33843
Phone (863) 635-4891

2900 W Cypress Creek Rd
Ste 1
Ft Lauderdale, FL 33309
Phone (954) 977-0192

2900 W Cypress Creek Rd
Ste 4
Ft Lauderdale, FL 33309
Phone (954) 676-8446

6419 W Newberry Rd
Ste B3
Gainesville, FL 32605
Phone (352) 331-6321

359 Marsh Landing Pkwy
Jacksonville Beach, FL 32250
Phone (904) 280-0011

3761 Tamiami Trl E
Naples, FL 34112
Phone (239) 261-0229

12550 Pines Blvd
Pembroke Pines, FL 33027
Phone (954) 430-4030

9375 66th St N
Pinellas Park, FL 33782
Phone (727) 541-4469

3600 US 27 N
Sebring, FL 33870
Phone (863) 294-5457

1480 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 878-1601

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

2680 Delaware Ave
Ste C
Buffalo, NY 14216
Phone (716) 873-1241

560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090

1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200

2590 W Ridge Rd
Rochester, NY 14626
Phone (585) 227-7150

2921 Erie Blvd E
Syracuse, NY 13224
Phone (315) 446-3145

316 S Hamilton Rd
Gahanna, OH 43230

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Interoperability endpoints

  • Direct secure messaging: julie.owens.1@12125.direct.athenahealth.com

Organizations & group practices 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1750364063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 SW MAIN BLVD",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320255791",
            "telephone_number": "386-752-1722",
            "fax_number": "386-755-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 SW MAIN BLVD",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320255791",
            "telephone_number": "386-752-1722",
            "fax_number": "386-755-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "JULIE",
        "middle_name": "LYNN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620611500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

Verify at the official NPI Registry.