Active NPI
Julie Lynn Owens, OD
- Optometrist
- Lake City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC3507
- 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, 2013
- Sex
- Female
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620611500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011057 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Eye Institute, PA | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Florida, LLC | Optometrist | Current | Accepting new patients |
| Family First Vision Care, PLLC | Optometrist | Current | Accepting new patients |
| Eye Doctors Optical Outlets PA | Optometrist | Current | Accepting new patients |
| Gregory L Henderson MD Facs Inc | Current | Accepting new patients | |
| Eye Doctors Optical Outlets PA | Optometrist | Current | 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 | Current | Accepting new patients |
| Myeyedr Optometry of Florida, LLC | Optometrist | Current | Accepting new patients |
| Empire Vision Center, Inc | Current | Accepting new patients | |
| Empire Vision Center Inc | Optometrist | Current | Accepting new patients |
| Central Florida Health Care, Inc. | Current | Accepting new patients | |
| Central Florida Health Care, Inc | Current | Accepting new patients | |
| Myeyedr Optometry of Florida, LLC | Optometrist | Current | Accepting new patients |
| South Florida Vision Services, Inc. | Optometrist | Current | Accepting new patients |
| Gregory L Henderson MD Facs Inc | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Florida, LLC | Optometrist | Past | Accepting new patients |
| Mary M Futch OD PA | Optometrist | Past | 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
- 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.
-
dba Central Florida Health Care Frostproof
- Federally Qualified Health Center (FQHC)
- Frostproof, FL
- NPI 1467449660
-
- Optometrist
- Orlando, FL
- NPI 1164308771
-
- Optometrist
- Jacksonville, FL
- NPI 1104341882
-
dba Florida Eye Specialists and Cataract Institute
- Ophthalmology Physician
- Brandon, FL
- NPI 1306839725
Optometrist
-
dba South Florida Vision Centers
- Optometrist
- Fort Lauderdale, FL
- NPI 1912032566
-
dba Eye Associates of Pinellas
- Ophthalmology Physician
- Pinellas Park, FL
- NPI 1073625331
Optometrist
-
- Federally Qualified Health Center (FQHC)
- Bartow, FL
- NPI 1811796469
-
dba Central Florida Health Care, Inc. - Hardee
- Federally Qualified Health Center (FQHC)
- Wauchula, FL
- NPI 1790116911
-
- Optometrist
- Tampa, FL
- NPI 1114012689
-
- Optometrist
- Tampa, FL
- NPI 1487845707
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.