NPI Code Detail JSON Logo

1891201406 NPI number — SHARPER VISION PC

NPI Number: 1891201406
Health Care Provider/Practitioner: SHARPER VISION PC

Information about “1891201406” NPI (SHARPER VISION PC) exists in 1891201406 in HTML format HTML  |  1891201406 in plain Text format TXT  |  1891201406 in PDF (Portable Document Format) PDF  |  1891201406 in an XML format XML  formats.

NPI Number : 1891201406 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1891201406",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SHARPER VISION PC",
    "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": "71 GARFIELD ST APT 180",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DETROIT",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48201-1911",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "313-974-7299",
    "MailingAddressFaxNumber": "313-974-7525",
    "FirstLinePracticeLocationAddress": "71 GARFIELD ST APT 180",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DETROIT",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48201-1911",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "313-974-7299",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/19/2017",
    "LastUpdateDate": "12/16/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WILLIAMS-BLAKEY",
    "AuthorizedOfficialFirstName": "JACQUELYN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "OD",
    "AuthorizedOfficialTelephoneNumber": "313-974-7299",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "332H00000X",
        "TaxonomyName": "Eyewear Supplier",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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