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1821250218 NPI number — RICK STANTON ENTERPRISES INCORPORATED DBA LAUREN TAYLOR EYEWEAR

NPI Number: 1821250218
Health Care Provider/Practitioner: RICK STANTON ENTERPRISES INCORPORATED DBA LAUREN TAYLOR EYEWEAR

Information about “1821250218” NPI (RICK STANTON ENTERPRISES INCORPORATED DBA LAUREN TAYLOR EYEWEAR) exists in 1821250218 in HTML format HTML  |  1821250218 in plain Text format TXT  |  1821250218 in PDF (Portable Document Format) PDF  |  1821250218 in an XML format XML  formats.

NPI Number : 1821250218 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1821250218",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "RICK STANTON ENTERPRISES INCORPORATED DBA LAUREN TAYLOR EYEWEAR",
    "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": "1945 LAKESHORE DRIVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MUSKEGON",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "49441",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "231-755-4060",
    "MailingAddressFaxNumber": "231-755-9139",
    "FirstLinePracticeLocationAddress": "1945 LAKESHORE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MUSKEGON",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "49441",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "231-755-4060",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/27/2008",
    "LastUpdateDate": "06/27/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "OSBORNE",
    "AuthorizedOfficialFirstName": "JUDITH",
    "AuthorizedOfficialMiddleName": "ANN",
    "AuthorizedOfficialTitle": "OWNER OPTICIAN",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "231-755-4060",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261Q00000X",
          "TaxonomyName": "Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332H00000X",
          "TaxonomyName": "Eyewear Supplier",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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