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1659677789 NPI number — EYE CENTER OF ALABAMA PC

NPI Number: 1659677789
Health Care Provider/Practitioner: EYE CENTER OF ALABAMA PC

Information about “1659677789” NPI (EYE CENTER OF ALABAMA PC) exists in 1659677789 in HTML format HTML  |  1659677789 in plain Text format TXT  |  1659677789 in PDF (Portable Document Format) PDF  |  1659677789 in an XML format XML  formats.

NPI Number : 1659677789 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659677789",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "EYE CENTER OF ALABAMA PC",
    "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": "20 MEDICAL CENTER DR",
    "SecondLineMailingAddress": "100",
    "MailingAddressCityName": "JASPER",
    "MailingAddressStateName": "AL",
    "MailingAddressPostalCode": "35501-3425",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "205-221-4705",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "20 MEDICAL CENTER DR",
    "SecondLinePracticeLocationAddress": "100",
    "PracticeLocationAddressCityName": "JASPER",
    "PracticeLocationAddressStateName": "AL",
    "PracticeLocationAddressPostalCode": "35501-3425",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "205-221-4705",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/08/2011",
    "LastUpdateDate": "03/10/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MOSLEY",
    "AuthorizedOfficialFirstName": "TAYLOR",
    "AuthorizedOfficialMiddleName": "A",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "205-221-4705",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "332H00000X",
        "TaxonomyName": "Eyewear Supplier",
        "LicenseNumber": "28293",
        "LicenseNumberStateCode": "AL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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