Individual
JULIE EDNEY TULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
8 MEDICAL PARK DR, ASHEVILLE, NC 28803-2493
(828) 258-1586
(828) 258-6161
Mailing address
8 MEDICAL PARK DR, ASHEVILLE, NC 28803-2493
(828) 258-1586
(828) 258-6161
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1403
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0991M
BCBS OF NC
NC
01
—
2270579
UNITED HEALTHCARE
NC
05
—
890991M
—
NC
Enumeration date
11/21/2005
Last updated
03/19/2008
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