Provider Demographics
NPI:1922199272
Name:EMERY, JULIA (OD)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:
Last Name:EMERY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12701 RESEARCH BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-4325
Mailing Address - Country:US
Mailing Address - Phone:512-258-2020
Mailing Address - Fax:512-258-7835
Practice Address - Street 1:12701 RESEARCH BLVD STE 101
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-4325
Practice Address - Country:US
Practice Address - Phone:512-258-2020
Practice Address - Fax:512-258-7835
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5295TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00204PMedicare ID - Type Unspecified
TXU65616Medicare UPIN