MEDICARE: DR. JULIA EMERY O.D.

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	5295TG	TX

General Provider Information

NPI Number	:	1922199272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIA EMERY O.D.

Provider Business Mailing Address
First Line	:	12701 RESEARCH BLVD STE 101
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78759-4325
Country	:	US
Telephone Number	:	512-258-2020
Fax Number	:	512-258-7835

Provider Business Practice Location Address
First Line	:	12701 RESEARCH BLVD STE 101
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78759-4325
Country	:	US
Telephone Number	:	512-258-2020
Fax Number	:	512-258-7835

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

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	02/11/2022

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