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1154675189 NPI number — SHARON S CHERIYAN OD.

NPI Number: 1154675189
Health Care Provider/Practitioner: SHARON S CHERIYAN OD.

Information about “1154675189” NPI (SHARON S CHERIYAN OD.) exists in 1154675189 in HTML format HTML  |  1154675189 in plain Text format TXT  |  1154675189 in PDF (Portable Document Format) PDF  |  1154675189 in an XML format XML  formats.

NPI Number : 1154675189 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1154675189",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CHERIYAN",
    "FirstName": "SHARON",
    "MiddleName": "S",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "OD.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "THANNICKAL",
    "OtherFirstName": "SHARON",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "OD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "13304 94TH AVENUE CT E",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PUYALLUP",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98373-5502",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "971-732-4866",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "13304 94TH AVENUE CT E",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PUYALLUP",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98373-5502",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "425-369-6726",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/29/2012",
    "LastUpdateDate": "04/25/2022",
    "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": "60296735",
        "LicenseNumberStateCode": "WA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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