NPI Code Detail JSON Logo

1942198353 NPI number — VENICE VISION LLC

NPI Number: 1942198353
Health Care Provider/Practitioner: VENICE VISION LLC

Information about “1942198353” NPI (VENICE VISION LLC) exists in 1942198353 in HTML format HTML  |  1942198353 in plain Text format TXT  |  1942198353 in PDF (Portable Document Format) PDF  |  1942198353 in an XML format XML  formats.

NPI Number : 1942198353 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1942198353",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "VENICE VISION LLC",
    "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": "2241 SCENIC DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "VENICE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34293-1537",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "941-302-4713",
    "MailingAddressFaxNumber": "941-921-4473",
    "FirstLinePracticeLocationAddress": "2165 S TAMIAMI TRL",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "VENICE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34293-5034",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "941-493-8787",
    "PracticeLocationAddressFaxNumber": "941-924-1419",
    "EnumerationDate": "06/25/2025",
    "LastUpdateDate": "06/25/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "FESSENDEN",
    "AuthorizedOfficialFirstName": "DREW",
    "AuthorizedOfficialMiddleName": "PRESCOTT",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "OD",
    "AuthorizedOfficialTelephoneNumber": "941-302-4713",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "332H00000X",
        "TaxonomyName": "Eyewear Supplier",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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