NPI Code Detail JSON Logo

1295615110 NPI number — MID ATLANTIC OPTICAL SUPPLIES AND CONSULTANTS LLC

NPI Number: 1295615110
Health Care Provider/Practitioner: MID ATLANTIC OPTICAL SUPPLIES AND CONSULTANTS LLC

Information about “1295615110” NPI (MID ATLANTIC OPTICAL SUPPLIES AND CONSULTANTS LLC) exists in 1295615110 in HTML format HTML  |  1295615110 in plain Text format TXT  |  1295615110 in PDF (Portable Document Format) PDF  |  1295615110 in an XML format XML  formats.

NPI Number : 1295615110 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1295615110",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MID ATLANTIC OPTICAL SUPPLIES AND CONSULTANTS 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": "1401 NEW YORK AVE NW",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WASHINGTON",
    "MailingAddressStateName": "DC",
    "MailingAddressPostalCode": "20005-2102",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "202-638-4700",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1401 NEW YORK AVE NW",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WASHINGTON",
    "PracticeLocationAddressStateName": "DC",
    "PracticeLocationAddressPostalCode": "20005-2102",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "202-638-4700",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/03/2025",
    "LastUpdateDate": "09/03/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ZHOU",
    "AuthorizedOfficialFirstName": "OLIVIA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DOCTOR",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "OD",
    "AuthorizedOfficialTelephoneNumber": "202-638-4700",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QM2500X",
          "TaxonomyName": "Medical Specialty Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332H00000X",
          "TaxonomyName": "Eyewear Supplier",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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