Provider Demographics
NPI:1477681740
Name:BERRY, JULIA PATRICIA (OD, PHD)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:PATRICIA
Last Name:BERRY
Suffix:
Gender:F
Credentials:OD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 BRIAR LN
Mailing Address - Street 2:
Mailing Address - City:STANHOPE
Mailing Address - State:NJ
Mailing Address - Zip Code:07874-3216
Mailing Address - Country:US
Mailing Address - Phone:973-691-8535
Mailing Address - Fax:
Practice Address - Street 1:415 PARSIPPANY RD
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-5192
Practice Address - Country:US
Practice Address - Phone:973-386-0111
Practice Address - Fax:973-386-1984
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00542900152W00000X
NJ27OM00021500152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist