Julie L Owens OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC3507 Issued in FL

Legal business name

JULIE L OWENS OD PA

Practice address

763 SW Main Blvd
Lake City, FL 32025

Phone

(386) 752-1722

Fax

(386) 755-1858

NPI assigned

Mar 30, 2007

Organization subpart

No

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

Authorized official

Name

January Cribbs

Title

Insurance Dept

Phone

(386) 752-1722

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• North Florida Eyecare Doing business as

Locations

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1801916077",
    "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": "32025",
            "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": "32025",
            "telephone_number": "386-752-1722",
            "fax_number": "386-755-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE L OWENS OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A",
        "authorized_official_last_name": "CRIBBS",
        "authorized_official_first_name": "JANUARY",
        "authorized_official_title_or_position": "INSURANCE DEPT",
        "authorized_official_telephone_number": "386-752-1722"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620611500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Florida Eyecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Florida Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William S Jones, CRNA
• Jamilyn Vaughn Jordan, MSN, ARNP, PNP-PC
• Tynette Jordan
• Joseph M Hernandez MD PA
• Kayla Juergens
• Jung H Kim MD PA
• Kevin R Jurecko, DDS
• Caroline Cherry Jury, RDN/LD
• Autumn Delain Jusic, MSN
• Lisa Marie Justice

• Optometrist in Lake City, FL
• Providers in Lake City, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.