NPI Code Detail JSON Logo

1588070262 NPI number — CIRCLE CITY OPTOMETRY, INC

NPI Number: 1588070262
Health Care Provider/Practitioner: CIRCLE CITY OPTOMETRY, INC

Information about “1588070262” NPI (CIRCLE CITY OPTOMETRY, INC) exists in 1588070262 in HTML format HTML  |  1588070262 in plain Text format TXT  |  1588070262 in PDF (Portable Document Format) PDF  |  1588070262 in an XML format XML  formats.

NPI Number : 1588070262 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588070262",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CIRCLE CITY OPTOMETRY, INC",
    "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": "807 W GRAND BLVD",
    "SecondLineMailingAddress": "# A",
    "MailingAddressCityName": "CORONA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92882-3272",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "951-735-1002",
    "MailingAddressFaxNumber": "951-735-9150",
    "FirstLinePracticeLocationAddress": "807 W GRAND BLVD",
    "SecondLinePracticeLocationAddress": "# A",
    "PracticeLocationAddressCityName": "CORONA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92882-3272",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "951-735-1002",
    "PracticeLocationAddressFaxNumber": "951-735-9150",
    "EnumerationDate": "07/02/2014",
    "LastUpdateDate": "07/02/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BELL",
    "AuthorizedOfficialFirstName": "NANCI",
    "AuthorizedOfficialMiddleName": "MARIE",
    "AuthorizedOfficialTitle": "CORPORATE SECRETARY / PRACT. ADMIN.",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "951-735-1002",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "152W00000X",
        "TaxonomyName": "Optometrist",
        "LicenseNumber": "OPT5503TPL",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X 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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