NPI Code Detail JSON Logo

1407871320 NPI number — VISION MASTERS CORP

NPI Number: 1407871320
Health Care Provider/Practitioner: VISION MASTERS CORP

Information about “1407871320” NPI (VISION MASTERS CORP) exists in 1407871320 in HTML format HTML  |  1407871320 in plain Text format TXT  |  1407871320 in PDF (Portable Document Format) PDF  |  1407871320 in an XML format XML  formats.

NPI Number : 1407871320 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1407871320",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "VISION MASTERS CORP",
    "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": "706 GRAPE STREET",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WHITEHALL",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "18052",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "610-266-7700",
    "MailingAddressFaxNumber": "610-266-9300",
    "FirstLinePracticeLocationAddress": "706 GRAPE STREET",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WHITEHALL",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "18052",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "610-266-7700",
    "PracticeLocationAddressFaxNumber": "610-266-9300",
    "EnumerationDate": "07/12/2006",
    "LastUpdateDate": "09/17/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MIGNOGNA",
    "AuthorizedOfficialFirstName": "DANA",
    "AuthorizedOfficialMiddleName": "MARIE",
    "AuthorizedOfficialTitle": "OPTOMETRIST OWNER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "OD",
    "AuthorizedOfficialTelephoneNumber": "610-266-7700",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "152W00000X",
          "TaxonomyName": "Optometrist",
          "LicenseNumber": "OE 007828 T",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "152W00000X",
          "TaxonomyName": "Optometrist",
          "LicenseNumber": "OE007800T",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "152W00000X",
          "TaxonomyName": "Optometrist",
          "LicenseNumber": "OEG001256",
          "LicenseNumberStateCode": "PA",
          "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."
        },
        {
          "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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