Individual
DR. JULIE HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1169 EASTERN PKWY, STE 3334, LOUISVILLE, KY 40217-1417
(502) 458-9004
(502) 458-9842
Mailing address
6400 DUTCHMANS PKWY STE 125, LOUISVILLE, KY 40205-3342
(502) 896-8700
(502) 896-0813
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1568DT
KY
152WC0802X
Corneal and Contact Management Optometrist
1568DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000319123
ANTHEM
KY
05
—
77001139
—
KY
01
—
921353
BLOCK VISION
—
Enumeration date
08/12/2005
Last updated
02/10/2023
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