MEDICARE: JULIE ERVIN 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	9698TG	TX

General Provider Information

NPI Number	:	1447810080
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE ERVIN OD

Provider Business Mailing Address
First Line	:	2902 RACE ST
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76111-4104
Country	:	US
Telephone Number	:	214-763-3409
Fax Number	:	817-238-3511

Provider Business Practice Location Address
First Line	:	2902 RACE ST
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76111-4104
Country	:	US
Telephone Number	:	682-747-6319
Fax Number	:	817-238-3511

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

Provider Enumeration Date	:	06/17/2019
Last Update Date	:	01/08/2025

Similar Medicare Providers

1821828666 — PANTHER CITY EYE CARE PLLC
Practice Location Address:

2902 RACE ST
FORT WORTH, TX
76111-4104

Practice Phone: 682-747-6319
Practice Fax: 817-238-3511

1689782328 — JAMES RUSSELL WINN M.D.
Practice Location Address:

1201 8TH AVE.
FORT WORTH, TX
76104-4104

Practice Phone: 817-335-8478
Practice Fax: 817-882-9910

1396949632 — DR. RAY COOKE GILLESPIE D.D.S.
Practice Location Address:

6700 HARRIS PKWY
FORT WORTH, TX
76132-4104

Practice Phone: 817-361-0929
Practice Fax: 817-361-0930

1710447727 — SUSSAN YVETTE SAENZ RN
Practice Location Address:

4104 IRIS AVE
FORT WORTH, TX
76137-1250

Practice Phone: 210-364-3103
Practice Fax:

1700417821 — ABIGAIL U DAVIS
Practice Location Address:

5113 GLEN CANYON RD
FORT WORTH, TX
76137-4104

Practice Phone: 817-879-9714
Practice Fax:

1447873880 — KIMBERLY SOTMAN GARRETT LPC
Practice Location Address:

4104 HARTWOOD DR
FORT WORTH, TX
76109-1609

Practice Phone: 817-761-0871
Practice Fax:

Directions to “ JULIE ERVIN OD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.