Provider Demographics
NPI:1053698068
Name:DHARIA, JULIE BATUK (OD)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:BATUK
Last Name:DHARIA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:JULIE
Other - Middle Name:BATUK
Other - Last Name:ROMALIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:890 E BUNKERHILL DR
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47802-9363
Mailing Address - Country:US
Mailing Address - Phone:812-841-1061
Mailing Address - Fax:
Practice Address - Street 1:115 E UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:GRANGER
Practice Address - State:IN
Practice Address - Zip Code:46530-4474
Practice Address - Country:US
Practice Address - Phone:574-271-5017
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-05
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18003704A152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist