Provider Demographics
NPI:1104878032
Name:MAY, JULIE KAY (OD)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:KAY
Last Name:MAY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:KAY
Other - Last Name:JOCHEM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:7900 SHELBYVILLE RD STE A15
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222-5463
Mailing Address - Country:US
Mailing Address - Phone:502-327-8568
Mailing Address - Fax:502-327-0613
Practice Address - Street 1:4801 OUTER LOOP STE D648
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40219-3257
Practice Address - Country:US
Practice Address - Phone:502-968-6860
Practice Address - Fax:502-969-5293
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1686DT152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200340470Medicaid
KYP00881713OtherRR MEDICARE
IN200340470Medicaid