NPI Code Detail JSON Logo

1114215530 NPI number — TAFADZWA MAKONI O.D

NPI Number: 1114215530
Health Care Provider/Practitioner: TAFADZWA MAKONI O.D

Information about “1114215530” NPI (TAFADZWA MAKONI O.D) exists in 1114215530 in HTML format HTML  |  1114215530 in plain Text format TXT  |  1114215530 in PDF (Portable Document Format) PDF  |  1114215530 in an XML format XML  formats.

NPI Number : 1114215530 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1114215530",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MAKONI",
    "FirstName": "TAFADZWA",
    "MiddleName": null,
    "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": "11000 BAYOU CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HUNTLEY",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60142-8186",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "530 RANDALL RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SOUTH ELGIN",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60177-3315",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "847-668-7365",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/19/2011",
    "LastUpdateDate": "11/18/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "152W00000X",
        "TaxonomyName": "Optometrist",
        "LicenseNumber": "046010486",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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