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1467595884 NPI number — RICHARD J. SCHWARTZ O.D.

NPI Number: 1467595884
Health Care Provider/Practitioner: RICHARD J. SCHWARTZ O.D.

Information about “1467595884” NPI (RICHARD J. SCHWARTZ O.D.) exists in 1467595884 in HTML format HTML  |  1467595884 in plain Text format TXT  |  1467595884 in PDF (Portable Document Format) PDF  |  1467595884 in an XML format XML  formats.

NPI Number : 1467595884 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1467595884",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SCHWARTZ",
    "FirstName": "RICHARD",
    "MiddleName": "J.",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "O.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "875 BRIGHTON RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TONAWANDA",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "14150-8150",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "716-832-0296",
    "MailingAddressFaxNumber": "716-832-0943",
    "FirstLinePracticeLocationAddress": "435 ROWLEY RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DEPEW",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "14043-4216",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "716-684-3399",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/15/2007",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "152W00000X",
        "TaxonomyName": "Optometrist",
        "LicenseNumber": "TUV005070-1",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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