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1114061066 NPI number — CLIFTON JOSEPH KOCHINSKY OPTICIAN

NPI Number: 1114061066
Health Care Provider/Practitioner: CLIFTON JOSEPH KOCHINSKY OPTICIAN

Information about “1114061066” NPI (CLIFTON JOSEPH KOCHINSKY OPTICIAN) exists in 1114061066 in HTML format HTML  |  1114061066 in plain Text format TXT  |  1114061066 in PDF (Portable Document Format) PDF  |  1114061066 in an XML format XML  formats.

NPI Number : 1114061066 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1114061066",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KOCHINSKY",
    "FirstName": "CLIFTON",
    "MiddleName": "JOSEPH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "OPTICIAN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KOCHINSKY",
    "OtherFirstName": "CLIFTON",
    "OtherMiddleName": "JOSEPH",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "OPTICIAN",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "5600 MYKAWA RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HOUSTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77033-1045",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "713-645-7165",
    "MailingAddressFaxNumber": "713-242-9096",
    "FirstLinePracticeLocationAddress": "5600 MYKAWA RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HOUSTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77033-1045",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "713-242-9050",
    "PracticeLocationAddressFaxNumber": "713-242-9096",
    "EnumerationDate": "02/16/2007",
    "LastUpdateDate": "12/12/2016",
    "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": "156FX1800X",
        "TaxonomyName": "Optician",
        "LicenseNumber": "29567",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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