Hogan, Julie
Hogan, Julie is an individual health care provider with primary practice located at 1169 Eastern Pkwy Ste 3334, Louisville KY 40217-1417. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Hogan, Julie can be contacted via phone (502) 458-9004.Contact Information
Primary practice address
1169 Eastern Pkwy Ste 3334
Louisville KY 40217-1417
Phone: (502) 458-9004
Fax: (502) 458-9842
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 1568DT | Kentucky |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1568DT | Kentucky |
Profile Details
| NPI number | 1356343990 |
|---|---|
| LBN Legal business name | Hogan, Julie |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Feb 10th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356343990 | NPPES |
| Kentucky | Other | 000000319123 | ANTHEM |
| Kentucky | MEDICAID | 77001139 | ANTHEM |
| Kentucky | Other | 921353 | ANTHEM |
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