NPI Code Detail JSON Logo

1487608071 NPI number — SAN BERNARDINO EYE SURGERY CENTER LLC

NPI Number: 1487608071
Health Care Provider/Practitioner: SAN BERNARDINO EYE SURGERY CENTER LLC

Information about “1487608071” NPI (SAN BERNARDINO EYE SURGERY CENTER LLC) exists in 1487608071 in HTML format HTML  |  1487608071 in plain Text format TXT  |  1487608071 in PDF (Portable Document Format) PDF  |  1487608071 in an XML format XML  formats.

NPI Number : 1487608071 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1487608071",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SAN BERNARDINO EYE SURGERY CENTER LLC",
    "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": "1900 E WASHINGTON ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COLTON",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92324-4614",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "909-825-3425",
    "MailingAddressFaxNumber": "909-825-6991",
    "FirstLinePracticeLocationAddress": "1900 E WASHINGTON ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COLTON",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92324-4614",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "909-825-3425",
    "PracticeLocationAddressFaxNumber": "909-825-6991",
    "EnumerationDate": "05/19/2006",
    "LastUpdateDate": "01/24/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LEWIS",
    "AuthorizedOfficialFirstName": "RICHARD",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "239-246-8769",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QA1903X",
        "TaxonomyName": "Ambulatory Surgical Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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