MEDICARE: JULIE ANN HAUSER OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OE007024T	PA

General Provider Information

NPI Number	:	1538196993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE ANN HAUSER OD

Provider Business Mailing Address
First Line	:	2501 W 12TH ST
Second Line	:	YORKTOWN CENTRE
City	:	ERIE
State	:	PA
Zip	:	16505-4527
Country	:	US
Telephone Number	:	814-838-0550
Fax Number	:	814-835-0576

Provider Business Practice Location Address
First Line	:	2501 W 12TH ST
Second Line	:	YORKTOWN CENTRE
City	:	ERIE
State	:	PA
Zip	:	16505-4527
Country	:	US
Telephone Number	:	814-838-0550
Fax Number	:	814-835-0576

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	04/28/2008

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