NPI Code Detail JSON Logo

1366749855 NPI number — O & P OPTIONS LLC

NPI Number: 1366749855
Health Care Provider/Practitioner: O & P OPTIONS LLC

Information about “1366749855” NPI (O & P OPTIONS LLC) exists in 1366749855 in HTML format HTML  |  1366749855 in plain Text format TXT  |  1366749855 in PDF (Portable Document Format) PDF  |  1366749855 in an XML format XML  formats.

NPI Number : 1366749855 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1366749855",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "O & P OPTIONS 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": "10547 MONTGOMERY RD",
    "SecondLineMailingAddress": "SUITE 600",
    "MailingAddressCityName": "MONTGOMERY",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "45242-4418",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "513-791-7767",
    "MailingAddressFaxNumber": "513-791-7765",
    "FirstLinePracticeLocationAddress": "10547 MONTGOMERY RD",
    "SecondLinePracticeLocationAddress": "SUITE 600",
    "PracticeLocationAddressCityName": "MONTGOMERY",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "45242-4418",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "513-791-7767",
    "PracticeLocationAddressFaxNumber": "513-791-7765",
    "EnumerationDate": "02/17/2011",
    "LastUpdateDate": "02/08/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "VAN ATTA",
    "AuthorizedOfficialFirstName": "DOUGLAS",
    "AuthorizedOfficialMiddleName": "BRIAN",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "CPO/LPO",
    "AuthorizedOfficialTelephoneNumber": "513-702-5945",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "224P00000X",
          "TaxonomyName": "Prosthetist",
          "LicenseNumber": "LPO-158",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "222Z00000X",
          "TaxonomyName": "Orthotist",
          "LicenseNumber": "LPO-158",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "335E00000X",
          "TaxonomyName": "Prosthetic/Orthotic Supplier",
          "LicenseNumber": "LPO158",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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