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1679877039 NPI number — EYEWORLD, L.L.C.

NPI Number: 1679877039
Health Care Provider/Practitioner: EYEWORLD, L.L.C.

Information about “1679877039” NPI (EYEWORLD, L.L.C.) exists in 1679877039 in HTML format HTML  |  1679877039 in plain Text format TXT  |  1679877039 in PDF (Portable Document Format) PDF  |  1679877039 in an XML format XML  formats.

NPI Number : 1679877039 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679877039",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "EYEWORLD, L.L.C.",
    "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": "2005 SILVERADA BLVD STE 140",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RENO",
    "MailingAddressStateName": "NV",
    "MailingAddressPostalCode": "89512-5033",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "775-829-2020",
    "MailingAddressFaxNumber": "888-632-2111",
    "FirstLinePracticeLocationAddress": "5164 MEADOWOOD MALL CIR",
    "SecondLinePracticeLocationAddress": "SPACE #F109",
    "PracticeLocationAddressCityName": "RENO",
    "PracticeLocationAddressStateName": "NV",
    "PracticeLocationAddressPostalCode": "89502-6711",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "775-829-8366",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/28/2010",
    "LastUpdateDate": "12/28/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HSUEH",
    "AuthorizedOfficialFirstName": "PATRICK",
    "AuthorizedOfficialMiddleName": "M.",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.D.",
    "AuthorizedOfficialTelephoneNumber": "775-829-2020",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207W00000X",
        "TaxonomyName": "Ophthalmology Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "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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