Healthcare Provider Details

I. General information

NPI: 1639377104
Provider Name (Legal Business Name): JULIE M. TRAN-LOCKWOOD O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2007
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39310 US HIGHWAY 19 N
TARPON SPRINGS FL
34689-3986
US

IV. Provider business mailing address

39310 US HIGHWAY 19 N
TARPON SPRINGS FL
34689-3986
US

V. Phone/Fax

Practice location:
  • Phone: 727-756-1220
  • Fax: 727-680-4456
Mailing address:
  • Phone: 727-756-1220
  • Fax: 727-680-4456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPC4594
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: