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1902933484 NPI number — LISA ANNE OSTRIN O.D.

NPI Number: 1902933484
Health Care Provider/Practitioner: LISA ANNE OSTRIN O.D.

Information about “1902933484” NPI (LISA ANNE OSTRIN O.D.) exists in 1902933484 in HTML format HTML  |  1902933484 in plain Text format TXT  |  1902933484 in PDF (Portable Document Format) PDF  |  1902933484 in an XML format XML  formats.

NPI Number : 1902933484 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1902933484",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "OSTRIN",
    "FirstName": "LISA",
    "MiddleName": "ANNE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "O.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "OSTRIN",
    "OtherFirstName": "LISA",
    "OtherMiddleName": "GREENFIELD",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "4901 CALHOUN RD",
    "SecondLineMailingAddress": "ROOM 2107",
    "MailingAddressCityName": "HOUSTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77004-2612",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "713-857-9983",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4901 CALHOUN RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HOUSTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77004-2612",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "713-857-9983",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/28/2007",
    "LastUpdateDate": "09/15/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "152W00000X",
          "TaxonomyName": "Optometrist",
          "LicenseNumber": "TA2023",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "152W00000X",
          "TaxonomyName": "Optometrist",
          "LicenseNumber": "8381T",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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