{
"Npi": {
"NPI": "1003008749",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ATHENS OPTICAL INC",
"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": "957 BAXTER ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ATHENS",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30606-3754",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "706-549-4457",
"MailingAddressFaxNumber": "706-353-3168",
"FirstLinePracticeLocationAddress": "957 BAXTER ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ATHENS",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "30606-3754",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "706-549-4457",
"PracticeLocationAddressFaxNumber": "706-353-3168",
"EnumerationDate": "08/16/2007",
"LastUpdateDate": "01/08/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "REED",
"AuthorizedOfficialFirstName": "JOHN",
"AuthorizedOfficialMiddleName": "COLLINS",
"AuthorizedOfficialTitle": "LICENSED DISPENSING OPTICIAN",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "L.D.O.",
"AuthorizedOfficialTelephoneNumber": "706-549-4457",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332H00000X",
"TaxonomyName": "Eyewear Supplier",
"LicenseNumber": "LDO001741",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}