NPI Code Detail JSON Logo

1902021587 NPI number — GOOD GUYS OPTICAL, INC.

NPI Number: 1902021587
Health Care Provider/Practitioner: GOOD GUYS OPTICAL, INC.

Information about “1902021587” NPI (GOOD GUYS OPTICAL, INC.) exists in 1902021587 in HTML format HTML  |  1902021587 in plain Text format TXT  |  1902021587 in PDF (Portable Document Format) PDF  |  1902021587 in an XML format XML  formats.

NPI Number : 1902021587 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1902021587",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "GOOD GUYS OPTICAL, INC.",
    "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": "3844 SUNRISE HWY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SEAFORD",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11783-2634",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "516-781-9838",
    "MailingAddressFaxNumber": "516-781-9878",
    "FirstLinePracticeLocationAddress": "3844 SUNRISE HWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SEAFORD",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11783-2634",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "516-781-9838",
    "PracticeLocationAddressFaxNumber": "516-781-9878",
    "EnumerationDate": "04/17/2007",
    "LastUpdateDate": "08/22/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SANTINI",
    "AuthorizedOfficialFirstName": "BARRY",
    "AuthorizedOfficialMiddleName": "E.",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "ABOM",
    "AuthorizedOfficialTelephoneNumber": "516-781-9838",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "332H00000X",
        "TaxonomyName": "Eyewear Supplier",
        "LicenseNumber": "C003830-1",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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