NPI Code Detail JSON Logo

1619021664 NPI number — NATIONAL VISION, INC.

NPI Number: 1619021664
Health Care Provider/Practitioner: NATIONAL VISION, INC.

Information about “1619021664” NPI (NATIONAL VISION, INC.) exists in 1619021664 in HTML format HTML  |  1619021664 in plain Text format TXT  |  1619021664 in PDF (Portable Document Format) PDF  |  1619021664 in an XML format XML  formats.

NPI Number : 1619021664 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619021664",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "NATIONAL VISION, INC.",
    "ParentOrgTIN": null,
    "OrgName": "NATIONAL VISION, INC.",
    "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": "296 GRAYSON HIGHWAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAWRENCEVILLE",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30046",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "770-822-3600",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1508 E. BATTLEFIELD STREET",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SPRINGFIELD",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "65804",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "417-883-0111",
    "PracticeLocationAddressFaxNumber": "417-883-3298",
    "EnumerationDate": "01/23/2007",
    "LastUpdateDate": "01/02/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "STEIN",
    "AuthorizedOfficialFirstName": "ROBERT",
    "AuthorizedOfficialMiddleName": "W.",
    "AuthorizedOfficialTitle": "SR. VICE PRESIDENT, PROFESSIONAL SE",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "770-822-3600",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "332H00000X",
          "TaxonomyName": "Eyewear Supplier",
          "LicenseNumber": "2201126",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332H00000X",
          "TaxonomyName": "Eyewear Supplier",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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