NPI Code Detail JSON Logo

1760727077 NPI number — THE LOW VISION STORE

NPI Number: 1760727077
Health Care Provider/Practitioner: THE LOW VISION STORE

Information about “1760727077” NPI (THE LOW VISION STORE) exists in 1760727077 in HTML format HTML  |  1760727077 in plain Text format TXT  |  1760727077 in PDF (Portable Document Format) PDF  |  1760727077 in an XML format XML  formats.

NPI Number : 1760727077 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1760727077",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "THE LOW VISION STORE",
    "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": "2200 UNIVERSITY AVE W",
    "SecondLineMailingAddress": "SUITE 200",
    "MailingAddressCityName": "SAINT PAUL",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55114-1839",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "651-203-2200",
    "MailingAddressFaxNumber": "651-203-2203",
    "FirstLinePracticeLocationAddress": "2200 UNIVERSITY AVE W",
    "SecondLinePracticeLocationAddress": "SUITE 200",
    "PracticeLocationAddressCityName": "SAINT PAUL",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55114-1839",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "651-203-2200",
    "PracticeLocationAddressFaxNumber": "651-203-2203",
    "EnumerationDate": "11/28/2012",
    "LastUpdateDate": "11/28/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "NELSON",
    "AuthorizedOfficialFirstName": "TERRY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "651-203-2200",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "332BC3200X",
        "TaxonomyName": "Customized Equipment (DME)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.