Provider Demographics
NPI:1962617217
Name:VENDITTIS, JULIE (OD)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:
Last Name:VENDITTIS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:JULIA
Other - Middle Name:
Other - Last Name:VENDITTIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:1201 WOLF ROCK DR STE 185
Mailing Address - Street 2:
Mailing Address - City:PURCELLVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20132-5841
Mailing Address - Country:US
Mailing Address - Phone:540-441-3719
Mailing Address - Fax:540-235-5377
Practice Address - Street 1:1305 W 7TH ST STE 13
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-4100
Practice Address - Country:US
Practice Address - Phone:301-969-2839
Practice Address - Fax:540-235-5377
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2018-OD152W00000X
MDTA2268152W00000X
VA0618001470152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist