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1386717346 NPI number — OLIVOS VISION CENTER

NPI Number: 1386717346
Health Care Provider/Practitioner: OLIVOS VISION CENTER

Information about “1386717346” NPI (OLIVOS VISION CENTER) exists in 1386717346 in HTML format HTML  |  1386717346 in plain Text format TXT  |  1386717346 in PDF (Portable Document Format) PDF  |  1386717346 in an XML format XML  formats.

NPI Number : 1386717346 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1386717346",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "OLIVOS VISION CENTER",
    "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": "11615 JAMAICA AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RICHMOND HILL",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11418-2433",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "718-847-9898",
    "MailingAddressFaxNumber": "718-847-9345",
    "FirstLinePracticeLocationAddress": "11615 JAMAICA AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RICHMOND HILL",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11418-2433",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "718-847-9898",
    "PracticeLocationAddressFaxNumber": "718-847-9345",
    "EnumerationDate": "11/16/2006",
    "LastUpdateDate": "09/11/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "OLIVOS",
    "AuthorizedOfficialFirstName": "JOSE",
    "AuthorizedOfficialMiddleName": "L",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "OPTICIAN",
    "AuthorizedOfficialTelephoneNumber": "718-847-9898",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "156FX1100X",
          "TaxonomyName": "Ophthalmic Technician/Technologist",
          "LicenseNumber": "6871",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "156FX1800X",
          "TaxonomyName": "Optician",
          "LicenseNumber": "6871",
          "LicenseNumberStateCode": "NY",
          "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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