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NPI Code Detail

MEDICARE: DR. JULIANNA DIMITRI OD

MEDICARE: DR. JULIANNA DIMITRI 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
1152W00000XOptometristNONELA

General Provider Information

NPI Number : 1396674230
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JULIANNA DIMITRI OD
Provider Business Mailing Address
First Line : 1617 METAIRIE RD
Second Line :
City : METAIRIE
State : LA
Zip : 70005-3976
Country : US
Telephone Number : 504-837-3937
Fax Number :
Provider Business Practice Location Address
First Line : 1617 METAIRIE RD
Second Line :
City : METAIRIE
State : LA
Zip : 70005-3976
Country : US
Telephone Number : 504-837-3937
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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