# JULIE L OWENS OD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** North Florida Eyecare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801916077
- **Authorized official:** JANUARY CRIBBS (INSURANCE DEPT)
- **Authorized official phone:** (386) 752-1722

## Contact information

- **Practice address:** 763 SW MAIN BLVD, LAKE CITY, FL 32025
- **Practice address phone:** (386) 752-1722
- **Practice address fax:** (386) 755-1858
- **Mailing address:** 763 SW MAIN BLVD, LAKE CITY, FL 32025
- **Mailing address phone:** (386) 752-1722
- **Mailing address fax:** (386) 755-1858

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC3507 | FL | Yes |

## Other

- **Enumeration date:** 03/30/2007
- **Last updated:** 11/22/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 620611500 | — | FL |