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1265252902 NPI number — PLEASANT VIEW VISION CARE

NPI Number: 1265252902
Health Care Provider/Practitioner: PLEASANT VIEW VISION CARE

Information about “1265252902” NPI (PLEASANT VIEW VISION CARE) exists in 1265252902 in HTML format HTML  |  1265252902 in plain Text format TXT  |  1265252902 in PDF (Portable Document Format) PDF  |  1265252902 in an XML format XML  formats.

NPI Number : 1265252902 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1265252902",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PLEASANT VIEW VISION CARE",
    "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": "PO BOX 60834",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LONGMEADOW",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "01116-0834",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "413-323-6231",
    "MailingAddressFaxNumber": "413-754-6723",
    "FirstLinePracticeLocationAddress": "809 WILLIAMS ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LONGMEADOW",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "01106-2060",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "413-567-6450",
    "PracticeLocationAddressFaxNumber": "413-754-6723",
    "EnumerationDate": "10/16/2024",
    "LastUpdateDate": "10/16/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KOWAL",
    "AuthorizedOfficialFirstName": "ANGELA",
    "AuthorizedOfficialMiddleName": "THERESA",
    "AuthorizedOfficialTitle": "CREDENTIAL COORDINATOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "413-323-6231",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "152W00000X",
        "TaxonomyName": "Optometrist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "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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