NPI Code Detail JSON Logo

1366528481 NPI number — HOWARD D WEINBERG O.D.

NPI Number: 1366528481
Health Care Provider/Practitioner: HOWARD D WEINBERG O.D.

Information about “1366528481” NPI (HOWARD D WEINBERG O.D.) exists in 1366528481 in HTML format HTML  |  1366528481 in plain Text format TXT  |  1366528481 in PDF (Portable Document Format) PDF  |  1366528481 in an XML format XML  formats.

NPI Number : 1366528481 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1366528481",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WEINBERG",
    "FirstName": "HOWARD",
    "MiddleName": "D",
    "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": "1850 ROUTE 112",
    "SecondLineMailingAddress": "SUITE L",
    "MailingAddressCityName": "CORAM",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11727-2232",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "631-736-6161",
    "MailingAddressFaxNumber": "631-736-1912",
    "FirstLinePracticeLocationAddress": "1850 ROUTE 112",
    "SecondLinePracticeLocationAddress": "SUITE L",
    "PracticeLocationAddressCityName": "CORAM",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11727-2232",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "631-736-6161",
    "PracticeLocationAddressFaxNumber": "631-736-1912",
    "EnumerationDate": "10/31/2006",
    "LastUpdateDate": "08/15/2012",
    "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": "TUV004022-1",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.