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1598078123 NPI number — ERIN TATUM LATTER O.D.

NPI Number: 1598078123
Health Care Provider/Practitioner: ERIN TATUM LATTER O.D.

Information about “1598078123” NPI (ERIN TATUM LATTER O.D.) exists in 1598078123 in HTML format HTML  |  1598078123 in plain Text format TXT  |  1598078123 in PDF (Portable Document Format) PDF  |  1598078123 in an XML format XML  formats.

NPI Number : 1598078123 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1598078123",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LATTER",
    "FirstName": "ERIN",
    "MiddleName": "TATUM",
    "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": "PO BOX 860666",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SHAWNEE",
    "MailingAddressStateName": "KS",
    "MailingAddressPostalCode": "66286-0666",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "913-787-0196",
    "MailingAddressFaxNumber": "913-273-1044",
    "FirstLinePracticeLocationAddress": "15700 SHAWNEE MISSION PKWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SHAWNEE",
    "PracticeLocationAddressStateName": "KS",
    "PracticeLocationAddressPostalCode": "66217-9321",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "913-787-0196",
    "PracticeLocationAddressFaxNumber": "913-273-1044",
    "EnumerationDate": "07/25/2010",
    "LastUpdateDate": "11/18/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "152W00000X",
          "TaxonomyName": "Optometrist",
          "LicenseNumber": "1872",
          "LicenseNumberStateCode": "KS",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "152W00000X",
          "TaxonomyName": "Optometrist",
          "LicenseNumber": "TA2220",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "152W00000X",
          "TaxonomyName": "Optometrist",
          "LicenseNumber": "2010032151",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "152W00000X",
          "TaxonomyName": "Optometrist",
          "LicenseNumber": "OPC 4543",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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