Individual
DR. JULIE A HERRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6711 ALEXANDRIA PIKE, ALEXANDRIA, KY 41001-1025
(859) 635-0948
Mailing address
2408 LOST WILLOW CT, HEBRON, KY 41048-7393
(859) 384-2761
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1491DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000274452
ANTHEM PIN
KY
01
—
22-02615
UNITED HEALTHCARE ID
KY
01
—
24453
SPECTERA ID
KY
01
—
49287
DAVIS ID
KY
05
—
77000172
—
KY
01
—
K1491E
HUMANA ID
KY
Enumeration date
12/18/2006
Last updated
07/08/2007
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