MEDICARE: DR. JULIA NOLTE 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	18002810	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932264744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIA NOLTE O.D.

Provider Business Mailing Address
First Line	:	77 S. GIRL SCHOOL RD.
Second Line	:	103
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46231
Country	:	US
Telephone Number	:	317-486-9427
Fax Number	:	317-486-9429

Provider Business Practice Location Address
First Line	:	77 S. GIRL SCHOOL RD.
Second Line	:	103
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46231
Country	:	US
Telephone Number	:	317-486-9427
Fax Number	:	317-486-9429

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

Provider Enumeration Date	:	12/22/2006
Last Update Date	:	05/01/2018

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