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1851561716 NPI number — MAYO RETINA, INC.

NPI Number: 1851561716
Health Care Provider/Practitioner: MAYO RETINA, INC.

Information about “1851561716” NPI (MAYO RETINA, INC.) exists in 1851561716 in HTML format HTML  |  1851561716 in plain Text format TXT  |  1851561716 in PDF (Portable Document Format) PDF  |  1851561716 in an XML format XML  formats.

NPI Number : 1851561716 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1851561716",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MAYO RETINA, INC.",
    "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": "322 12TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HUNTINGTON BEACH",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92648-4519",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "714-475-8612",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "16543 BROOKHURST ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FOUNTAIN VALLEY",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92708-2343",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "714-475-8612",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/07/2008",
    "LastUpdateDate": "03/07/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MAYO",
    "AuthorizedOfficialFirstName": "KATHERINE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "D.O.",
    "AuthorizedOfficialTelephoneNumber": "714-475-8612",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QM2500X",
          "TaxonomyName": "Medical Specialty Clinic/Center",
          "LicenseNumber": "20A9551",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QS0132X",
          "TaxonomyName": "Ophthalmologic Surgery Clinic/Center",
          "LicenseNumber": "G83501",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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