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1588735450 NPI number — JOHN PHILIP ROMANS OD

NPI Number: 1588735450
Health Care Provider/Practitioner: JOHN PHILIP ROMANS OD

Information about “1588735450” NPI (JOHN PHILIP ROMANS OD) exists in 1588735450 in HTML format HTML  |  1588735450 in plain Text format TXT  |  1588735450 in PDF (Portable Document Format) PDF  |  1588735450 in an XML format XML  formats.

NPI Number : 1588735450 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588735450",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ROMANS",
    "FirstName": "JOHN",
    "MiddleName": "PHILIP",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "OD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "100 A HUNTINGTON MALL PO BOX 4129",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BARBOURSFILLE",
    "MailingAddressStateName": "WV",
    "MailingAddressPostalCode": "25504-4129",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "304-736-9550",
    "MailingAddressFaxNumber": "304-733-0584",
    "FirstLinePracticeLocationAddress": "100 A HUNTINGTON MALL",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BARBOURSFILLE",
    "PracticeLocationAddressStateName": "WV",
    "PracticeLocationAddressPostalCode": "25504-4129",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "304-736-9550",
    "PracticeLocationAddressFaxNumber": "304-733-0584",
    "EnumerationDate": "11/13/2006",
    "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": "672OD",
          "LicenseNumberStateCode": "WV",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "152W00000X",
          "TaxonomyName": "Optometrist",
          "LicenseNumber": "5602 T2516",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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