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1265441455 NPI number — ANDREW VU THANH TRAN O.D.

NPI Number: 1265441455
Health Care Provider/Practitioner: ANDREW VU THANH TRAN O.D.

Information about “1265441455” NPI (ANDREW VU THANH TRAN O.D.) exists in 1265441455 in HTML format HTML  |  1265441455 in plain Text format TXT  |  1265441455 in PDF (Portable Document Format) PDF  |  1265441455 in an XML format XML  formats.

NPI Number : 1265441455 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1265441455",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TRAN",
    "FirstName": "ANDREW",
    "MiddleName": "VU THANH",
    "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": "4137 BRIAR GATE LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WINTER GARDEN",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34787-5521",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "407-256-3763",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "112 E DIXIE AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LEESBURG",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34748-6350",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "352-787-1956",
    "PracticeLocationAddressFaxNumber": "352-365-6690",
    "EnumerationDate": "08/05/2006",
    "LastUpdateDate": "07/21/2022",
    "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": "OPC 004108",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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