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1861633323 NPI number — LUM EYE AND VISION CENTER A MEDICAL CORPORATION

NPI Number: 1861633323
Health Care Provider/Practitioner: LUM EYE AND VISION CENTER A MEDICAL CORPORATION

Information about “1861633323” NPI (LUM EYE AND VISION CENTER A MEDICAL CORPORATION) exists in 1861633323 in HTML format HTML  |  1861633323 in plain Text format TXT  |  1861633323 in PDF (Portable Document Format) PDF  |  1861633323 in an XML format XML  formats.

NPI Number : 1861633323 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1861633323",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "LUM EYE AND VISION CENTER A MEDICAL CORPORATION",
    "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": "3088 TELEGRAPH RD",
    "SecondLineMailingAddress": "SUITE A",
    "MailingAddressCityName": "VENTURA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "93003-3234",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "805-648-6891",
    "MailingAddressFaxNumber": "805-648-6386",
    "FirstLinePracticeLocationAddress": "3088 TELEGRAPH RD",
    "SecondLinePracticeLocationAddress": "SUITE A",
    "PracticeLocationAddressCityName": "VENTURA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93003-3234",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "805-648-6891",
    "PracticeLocationAddressFaxNumber": "805-648-6386",
    "EnumerationDate": "03/13/2009",
    "LastUpdateDate": "12/15/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WINTERMUTE",
    "AuthorizedOfficialFirstName": "KEITH",
    "AuthorizedOfficialMiddleName": "ALLEN",
    "AuthorizedOfficialTitle": "VICE PRESIDENT",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MDIV",
    "AuthorizedOfficialTelephoneNumber": "805-648-6891",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207W00000X",
        "TaxonomyName": "Ophthalmology Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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