Healthcare Provider Details

I. General information

NPI: 1013803972
Provider Name (Legal Business Name): JULIANNA HAYES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2025
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7545 BOYNTON BEACH BLVD STE 205
BOYNTON BEACH FL
33437-6166
US

IV. Provider business mailing address

2221 QUAIL CREEK CT
BEL AIR MD
21015-6454
US

V. Phone/Fax

Practice location:
  • Phone: 561-880-2480
  • Fax: 561-880-4466
Mailing address:
  • Phone: 443-655-9514
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number6705
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: