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1780917872 NPI number — VISION PLUS INSIDE SNOHOMISH TOP FOODS PS

NPI Number: 1780917872
Health Care Provider/Practitioner: VISION PLUS INSIDE SNOHOMISH TOP FOODS PS

Information about “1780917872” NPI (VISION PLUS INSIDE SNOHOMISH TOP FOODS PS) exists in 1780917872 in HTML format HTML  |  1780917872 in plain Text format TXT  |  1780917872 in PDF (Portable Document Format) PDF  |  1780917872 in an XML format XML  formats.

NPI Number : 1780917872 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1780917872",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "VISION PLUS INSIDE SNOHOMISH TOP FOODS PS",
    "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": "1225 E SUNSET DR",
    "SecondLineMailingAddress": "SUITE 125",
    "MailingAddressCityName": "BELLINGHAM",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98226-3597",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "360-733-7393",
    "MailingAddressFaxNumber": "360-733-5441",
    "FirstLinePracticeLocationAddress": "1301 AVENUE D",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SNOHOMISH",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98290-1711",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "360-568-6868",
    "PracticeLocationAddressFaxNumber": "360-568-6881",
    "EnumerationDate": "09/08/2009",
    "LastUpdateDate": "11/23/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SAUL",
    "AuthorizedOfficialFirstName": "MICHAEL",
    "AuthorizedOfficialMiddleName": "JESSE",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "O.D",
    "AuthorizedOfficialTelephoneNumber": "360-568-6868",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "152W00000X",
        "TaxonomyName": "Optometrist",
        "LicenseNumber": "602946857",
        "LicenseNumberStateCode": "WA",
        "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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