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1215964770 NPI number — THOMAS R SHELOR OD PA

NPI Number: 1215964770
Health Care Provider/Practitioner: THOMAS R SHELOR OD PA

Information about “1215964770” NPI (THOMAS R SHELOR OD PA) exists in 1215964770 in HTML format HTML  |  1215964770 in plain Text format TXT  |  1215964770 in PDF (Portable Document Format) PDF  |  1215964770 in an XML format XML  formats.

NPI Number : 1215964770 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1215964770",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SHELOR",
    "FirstName": "THOMAS",
    "MiddleName": "R",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "OD PA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "401 S CLAIRBORNE RD",
    "SecondLineMailingAddress": "STE B",
    "MailingAddressCityName": "OLATHE",
    "MailingAddressStateName": "KS",
    "MailingAddressPostalCode": "66062-1735",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "913-782-1213",
    "MailingAddressFaxNumber": "913-782-4801",
    "FirstLinePracticeLocationAddress": "401 S CLAIRBORNE RD",
    "SecondLinePracticeLocationAddress": "STE B",
    "PracticeLocationAddressCityName": "OLATHE",
    "PracticeLocationAddressStateName": "KS",
    "PracticeLocationAddressPostalCode": "66062-1735",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "913-782-1213",
    "PracticeLocationAddressFaxNumber": "913-782-4801",
    "EnumerationDate": "06/28/2006",
    "LastUpdateDate": "01/18/2008",
    "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": "1075-2",
        "LicenseNumberStateCode": "KS",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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