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1306806609 NPI number — JOHN E. STUCKEY II O.D.

NPI Number: 1306806609
Health Care Provider/Practitioner: JOHN E. STUCKEY II O.D.

Information about “1306806609” NPI (JOHN E. STUCKEY II O.D.) exists in 1306806609 in HTML format HTML  |  1306806609 in plain Text format TXT  |  1306806609 in PDF (Portable Document Format) PDF  |  1306806609 in an XML format XML  formats.

NPI Number : 1306806609 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1306806609",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STUCKEY",
    "FirstName": "JOHN",
    "MiddleName": "E.",
    "NamePrefix": "DR.",
    "NameSuffix": "II",
    "Credential": "O.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "STUCKEY",
    "OtherFirstName": "JOHN",
    "OtherMiddleName": "E.",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": "II",
    "OtherCredential": "O.D.",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "9600 LILE DR",
    "SecondLineMailingAddress": "230 DOCTORS PARK BUILDING",
    "MailingAddressCityName": "LITTLE ROCK",
    "MailingAddressStateName": "AR",
    "MailingAddressPostalCode": "72205-6326",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "501-227-6797",
    "MailingAddressFaxNumber": "501-228-6336",
    "FirstLinePracticeLocationAddress": "9600 LILE DR",
    "SecondLinePracticeLocationAddress": "230 DOCTORS PARK BUILDING",
    "PracticeLocationAddressCityName": "LITTLE ROCK",
    "PracticeLocationAddressStateName": "AR",
    "PracticeLocationAddressPostalCode": "72205-6326",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "501-227-6797",
    "PracticeLocationAddressFaxNumber": "501-228-6336",
    "EnumerationDate": "03/23/2006",
    "LastUpdateDate": "12/07/2012",
    "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": "2187",
        "LicenseNumberStateCode": "AR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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