Provider Demographics
NPI:1861436297
Name:GARR, JULIA LEE (OD)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:LEE
Last Name:GARR
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:JULIA
Other - Middle Name:
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:1950 OLD GALLOWS RD STE 520
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3970
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1776 G ST NW STE 104
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-4765
Practice Address - Country:US
Practice Address - Phone:202-298-6878
Practice Address - Fax:202-347-7180
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA1902152W00000X
VA0618001459152W00000X
DCOP1000108152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC039784300Medicaid
V12550Medicare UPIN
DC039784300Medicaid