{
"Npi": {
"NPI": "1013182229",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "JANA L. MOUNTS O.D. INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1533 BONNIE LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FOREST GROVE",
"MailingAddressStateName": "OR",
"MailingAddressPostalCode": "97116-2682",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2927 S.E. 73RD AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HILLSBORO",
"PracticeLocationAddressStateName": "OR",
"PracticeLocationAddressPostalCode": "97123",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "503-591-0591",
"PracticeLocationAddressFaxNumber": "503-591-0511",
"EnumerationDate": "04/29/2008",
"LastUpdateDate": "04/29/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MOUNTS",
"AuthorizedOfficialFirstName": "JANA",
"AuthorizedOfficialMiddleName": "L.",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "O.D.",
"AuthorizedOfficialTelephoneNumber": "503-992-8562",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332H00000X",
"TaxonomyName": "Eyewear Supplier",
"LicenseNumber": "3113 AT",
"LicenseNumberStateCode": "OR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}