NPI Code Detail JSON Logo

1770749483 NPI number — ALESHA SPELLMAN SMITH O.D.

NPI Number: 1770749483
Health Care Provider/Practitioner: ALESHA SPELLMAN SMITH O.D.

Information about “1770749483” NPI (ALESHA SPELLMAN SMITH O.D.) exists in 1770749483 in HTML format HTML  |  1770749483 in plain Text format TXT  |  1770749483 in PDF (Portable Document Format) PDF  |  1770749483 in an XML format XML  formats.

NPI Number : 1770749483 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1770749483",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SMITH",
    "FirstName": "ALESHA",
    "MiddleName": "SPELLMAN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "O.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SMITH",
    "OtherFirstName": "ALESHA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "O.D.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1208 KILLINGTON SQ",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHESAPEAKE",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "23320-8244",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "757-553-6400",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "620 JOHN PAUL JONES CIR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PORTSMOUTH",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "23708",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "757-953-6486",
    "PracticeLocationAddressFaxNumber": "757-953-6487",
    "EnumerationDate": "08/01/2008",
    "LastUpdateDate": "08/11/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "152W00000X",
          "TaxonomyName": "Optometrist",
          "LicenseNumber": "27OA00672200",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "152W00000X",
          "TaxonomyName": "Optometrist",
          "LicenseNumber": "TA2109",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "152W00000X",
          "TaxonomyName": "Optometrist",
          "LicenseNumber": "0618001770",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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