Provider Demographics
NPI:1316430481
Name:HIBBING, JULIA LEE (OD)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:LEE
Last Name:HIBBING
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:JULIA
Other - Middle Name:LEE
Other - Last Name:HIBBING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:1638 SYCAMORE ST
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-6044
Mailing Address - Country:US
Mailing Address - Phone:319-337-3737
Mailing Address - Fax:319-365-9500
Practice Address - Street 1:1638 SYCAMORE ST
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-6044
Practice Address - Country:US
Practice Address - Phone:319-337-3737
Practice Address - Fax:319-365-9500
Is Sole Proprietor?:No
Enumeration Date:2018-06-12
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA091928152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist