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1184882797 NPI number — DORMONT VISION CENTER LLC

NPI Number: 1184882797
Health Care Provider/Practitioner: DORMONT VISION CENTER LLC

Information about “1184882797” NPI (DORMONT VISION CENTER LLC) exists in 1184882797 in HTML format HTML  |  1184882797 in plain Text format TXT  |  1184882797 in PDF (Portable Document Format) PDF  |  1184882797 in an XML format XML  formats.

NPI Number : 1184882797 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1184882797",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "DORMONT VISION CENTER LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2893 WEST LIBERTY AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PITTSBURGH",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "15216-2619",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "412-344-8534",
    "MailingAddressFaxNumber": "412-344-6962",
    "FirstLinePracticeLocationAddress": "2893 W LIBERTY AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PITTSBURGH",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "15216-2619",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "412-344-8534",
    "PracticeLocationAddressFaxNumber": "412-344-6962",
    "EnumerationDate": "05/30/2008",
    "LastUpdateDate": "09/11/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DOUGLAS",
    "AuthorizedOfficialFirstName": "REBECCA",
    "AuthorizedOfficialMiddleName": "ROBERTS",
    "AuthorizedOfficialTitle": "CREDENTIALING",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "CPDC",
    "AuthorizedOfficialTelephoneNumber": "866-551-0232",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "152W00000X",
        "TaxonomyName": "Optometrist",
        "LicenseNumber": "OEG000494",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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