NPI Code Detail JSON Logo

1386399418 NPI number — CASCO VISION PLLC

NPI Number: 1386399418
Health Care Provider/Practitioner: CASCO VISION PLLC

Information about “1386399418” NPI (CASCO VISION PLLC) exists in 1386399418 in HTML format HTML  |  1386399418 in plain Text format TXT  |  1386399418 in PDF (Portable Document Format) PDF  |  1386399418 in an XML format XML  formats.

NPI Number : 1386399418 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1386399418",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CASCO VISION PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "12331 N GESSNER RD APT 1235",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HOUSTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77064-7676",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "620-271-1377",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4846 FM 1463 SUITE 400",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KATY",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77494-7706",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "620-271-1377",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/17/2022",
    "LastUpdateDate": "03/20/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CHAPPEL",
    "AuthorizedOfficialFirstName": "JANTZ",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWENER/OPTOMETRIST",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "OD",
    "AuthorizedOfficialTelephoneNumber": "620-271-1377",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "152WC0802X",
          "TaxonomyName": "Corneal and Contact Management Optometrist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "152W00000X",
          "TaxonomyName": "Optometrist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        }
      ]
    }
  }
}
                
            

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