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1427649128 NPI number — NORWICH OPHTHALMOLOGY GROUP, P.C.

NPI Number: 1427649128
Health Care Provider/Practitioner: NORWICH OPHTHALMOLOGY GROUP, P.C.

Information about “1427649128” NPI (NORWICH OPHTHALMOLOGY GROUP, P.C.) exists in 1427649128 in HTML format HTML  |  1427649128 in plain Text format TXT  |  1427649128 in PDF (Portable Document Format) PDF  |  1427649128 in an XML format XML  formats.

NPI Number : 1427649128 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1427649128",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "NORWICH OPHTHALMOLOGY GROUP, P.C.",
    "ParentOrgTIN": null,
    "OrgName": "NORWICH OPHTHALMOLOGY GROUP, P.C.",
    "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": "79 WAWECUS ST STE 105",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORWICH",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06360-2178",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "860-886-0161",
    "MailingAddressFaxNumber": "860-889-5999",
    "FirstLinePracticeLocationAddress": "489 GOLD STAR HWY STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GROTON",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06340-6227",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "860-445-2461",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/27/2021",
    "LastUpdateDate": "07/12/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SHAH",
    "AuthorizedOfficialFirstName": "ANISH",
    "AuthorizedOfficialMiddleName": "U",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "860-886-0161",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "332H00000X",
        "TaxonomyName": "Eyewear Supplier",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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