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1033412341 NPI number — MICHAEL SMITH GITCHEL O.D.

NPI Number: 1033412341
Health Care Provider/Practitioner: MICHAEL SMITH GITCHEL O.D.

Information about “1033412341” NPI (MICHAEL SMITH GITCHEL O.D.) exists in 1033412341 in HTML format HTML  |  1033412341 in plain Text format TXT  |  1033412341 in PDF (Portable Document Format) PDF  |  1033412341 in an XML format XML  formats.

NPI Number : 1033412341 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1033412341",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GITCHEL",
    "FirstName": "MICHAEL",
    "MiddleName": "SMITH",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "O.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3250 ZEMKE AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MACDILL AFB",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33621-1607",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "813-827-9132",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4102 PINION DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "USAF ACADEMY",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80840-2502",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "719-333-5189",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/08/2010",
    "LastUpdateDate": "01/09/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "152W00000X",
          "TaxonomyName": "Optometrist",
          "LicenseNumber": "OPC6238",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "152W00000X",
          "TaxonomyName": "Optometrist",
          "LicenseNumber": "2817",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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