Healthcare Provider Details

I. General information

NPI: 1912835075
Provider Name (Legal Business Name): JULIA LAUREN RACHEL HAYWARD OD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JEWLYA HAYWARD

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

394 E YOSEMITE AVE STE 100
MERCED CA
95340-8218
US

IV. Provider business mailing address

394 E YOSEMITE AVE STE 100
MERCED CA
95340-8218
US

V. Phone/Fax

Practice location:
  • Phone: 209-383-1246
  • Fax:
Mailing address:
  • Phone: 209-383-1246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number36210
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: