Owens, Julie Lynn

Owens, Julie Lynn is an individual health care provider with primary practice located at 763 Sw Main Blvd , Lake City FL 32025-5791. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Owens, Julie Lynn can be contacted via phone (386) 752-1722.

Contact Information

Primary practice address
763 Sw Main Blvd Lake City FL 32025-5791
Fax: (386) 755-1858
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC3507 Florida

Profile Details

NPI number 1750364063
LBN Legal business name Owens, Julie Lynn
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Jan 18th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750364063 NPPES
Florida MEDICAID 620611500

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