{
"Npi": {
"NPI": "1033352497",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "JOE H. DEW, O. D. P. A.",
"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": "PO BOX 788",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MONROE",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30655-0788",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "770-267-2573",
"MailingAddressFaxNumber": "770-267-6751",
"FirstLinePracticeLocationAddress": "428 W HIGHLAND AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MONROE",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "30655-1908",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "770-267-2573",
"PracticeLocationAddressFaxNumber": "770-267-6751",
"EnumerationDate": "04/15/2009",
"LastUpdateDate": "04/15/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DEW",
"AuthorizedOfficialFirstName": "JOE",
"AuthorizedOfficialMiddleName": "H",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "O. D.",
"AuthorizedOfficialTelephoneNumber": "770-267-2573",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332H00000X",
"TaxonomyName": "Eyewear Supplier",
"LicenseNumber": "654T",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}