NPI Code Detail JSON Logo

1942224324 NPI number — REBECCA ERIN MOSER O.D.

NPI Number: 1942224324
Health Care Provider/Practitioner: REBECCA ERIN MOSER O.D.

Information about “1942224324” NPI (REBECCA ERIN MOSER O.D.) exists in 1942224324 in HTML format HTML  |  1942224324 in plain Text format TXT  |  1942224324 in PDF (Portable Document Format) PDF  |  1942224324 in an XML format XML  formats.

NPI Number : 1942224324 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1942224324",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MOSER",
    "FirstName": "REBECCA",
    "MiddleName": "ERIN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "O.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HUTSON",
    "OtherFirstName": "REBECCA",
    "OtherMiddleName": "ERIN",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "OD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2783 N SHILOH DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FAYETTEVILLE",
    "MailingAddressStateName": "AR",
    "MailingAddressPostalCode": "72704-6983",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "479-442-8865",
    "MailingAddressFaxNumber": "479-442-2678",
    "FirstLinePracticeLocationAddress": "3318 N. NORTH HILLS BLVD",
    "SecondLinePracticeLocationAddress": "MCDONALD EYE SERVICES P.A",
    "PracticeLocationAddressCityName": "FAYETTEVILLE",
    "PracticeLocationAddressStateName": "AR",
    "PracticeLocationAddressPostalCode": "72703",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "479-521-2555",
    "PracticeLocationAddressFaxNumber": "479-521-6761",
    "EnumerationDate": "07/27/2006",
    "LastUpdateDate": "09/26/2019",
    "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": "6904T",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "152W00000X",
          "TaxonomyName": "Optometrist",
          "LicenseNumber": "2695",
          "LicenseNumberStateCode": "AR",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "152W00000X",
          "TaxonomyName": "Optometrist",
          "LicenseNumber": "1531-661T",
          "LicenseNumberStateCode": "LA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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