{
"Npi": {
"NPI": "1003447889",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "DR. SAE YU AND ASSOCIATES P.C.",
"ParentOrgTIN": null,
"OrgName": "DR. JOHN S YU AND ASSOCIATES P.C.",
"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": "7742 SPALDING DR # 382",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PEACHTREE CORNERS",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30092-4207",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "770-289-7388",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "5151 PEACHTREE PKWY STE 700",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PEACHTREE CORNERS",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "30092-6523",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "770-289-7388",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/30/2020",
"LastUpdateDate": "01/30/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "YU",
"AuthorizedOfficialFirstName": "SAE",
"AuthorizedOfficialMiddleName": "YOUNG",
"AuthorizedOfficialTitle": "OWNER/EMPLOYEE",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "O.D.",
"AuthorizedOfficialTelephoneNumber": "770-289-7388",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}