NPI Code Detail JSON Logo

1700030053 NPI number — MOTWANI LASIK INSTITUTE

NPI Number: 1700030053
Health Care Provider/Practitioner: MOTWANI LASIK INSTITUTE

Information about “1700030053” NPI (MOTWANI LASIK INSTITUTE) exists in 1700030053 in HTML format HTML  |  1700030053 in plain Text format TXT  |  1700030053 in PDF (Portable Document Format) PDF  |  1700030053 in an XML format XML  formats.

NPI Number : 1700030053 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1700030053",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MOTWANI LASIK INSTITUTE",
    "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": "4520 EXECUTIVE DRIVE",
    "SecondLineMailingAddress": "SUITE #230",
    "MailingAddressCityName": "SAN DIEGO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92121-3018",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "858-554-0008",
    "MailingAddressFaxNumber": "858-554-1860",
    "FirstLinePracticeLocationAddress": "4520 EXECUTIVE DR",
    "SecondLinePracticeLocationAddress": "SUITE #230",
    "PracticeLocationAddressCityName": "SAN DIEGO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92121-3018",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "858-554-0008",
    "PracticeLocationAddressFaxNumber": "858-554-1860",
    "EnumerationDate": "11/13/2008",
    "LastUpdateDate": "12/22/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MOTWANI",
    "AuthorizedOfficialFirstName": "MANOJ",
    "AuthorizedOfficialMiddleName": "V",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.D.",
    "AuthorizedOfficialTelephoneNumber": "858-554-0008",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207W00000X",
        "TaxonomyName": "Ophthalmology Physician",
        "LicenseNumber": "A69391",
        "LicenseNumberStateCode": "CA",
        "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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