NPI Code Detail JSON Logo

1881615433 NPI number — TANGLEWOOD VISION CENTER, PLLC

NPI Number: 1881615433
Health Care Provider/Practitioner: TANGLEWOOD VISION CENTER, PLLC

Information about “1881615433” NPI (TANGLEWOOD VISION CENTER, PLLC) exists in 1881615433 in HTML format HTML  |  1881615433 in plain Text format TXT  |  1881615433 in PDF (Portable Document Format) PDF  |  1881615433 in an XML format XML  formats.

NPI Number : 1881615433 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1881615433",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "TANGLEWOOD VISION CENTER, PLLC",
    "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": "2110 SLAUGHTER LN W",
    "SecondLineMailingAddress": "STE 129",
    "MailingAddressCityName": "AUSTIN",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78748-5992",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "512-280-0520",
    "MailingAddressFaxNumber": "512-280-1656",
    "FirstLinePracticeLocationAddress": "2110 SLAUGHTER LN W",
    "SecondLinePracticeLocationAddress": "STE 129",
    "PracticeLocationAddressCityName": "AUSTIN",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78748-5992",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "512-280-0520",
    "PracticeLocationAddressFaxNumber": "512-280-1656",
    "EnumerationDate": "07/21/2006",
    "LastUpdateDate": "01/18/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MCGOWAN",
    "AuthorizedOfficialFirstName": "JOSEPH",
    "AuthorizedOfficialMiddleName": "JAMES",
    "AuthorizedOfficialTitle": "OWNER /",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "OD",
    "AuthorizedOfficialTelephoneNumber": "512-280-0520",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "152W00000X",
          "TaxonomyName": "Optometrist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "152W00000X",
          "TaxonomyName": "Optometrist",
          "LicenseNumber": "5582TG",
          "LicenseNumberStateCode": "TX",
          "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."
        },
        {
          "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."
        }
      ]
    }
  }
}
                
            

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