Provider Demographics
NPI:1366447633
Name:JULIEN, ALAN R (OD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:R
Last Name:JULIEN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2020 COLORADO AVE
Mailing Address - Street 2:STE A
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95382-2002
Mailing Address - Country:US
Mailing Address - Phone:209-667-6211
Mailing Address - Fax:209-667-2574
Practice Address - Street 1:2020 COLORADO AVE
Practice Address - Street 2:STE A
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95382-2002
Practice Address - Country:US
Practice Address - Phone:209-667-6211
Practice Address - Fax:209-667-2574
Is Sole Proprietor?:No
Enumeration Date:2005-06-14
Last Update Date:2012-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5409T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASD0054090Medicaid
CASD0054090Medicaid
CAT09977Medicare UPIN