{
"Npi": {
"NPI": "1033358205",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SMARTEYES OPTOMETRY",
"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": "518 E LONGDEN AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ARCADIA",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91006-5352",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "626-393-8885",
"MailingAddressFaxNumber": "626-821-5380",
"FirstLinePracticeLocationAddress": "25 E HUNTINGTON DR",
"SecondLinePracticeLocationAddress": "SUITE #111",
"PracticeLocationAddressCityName": "ARCADIA",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91006-3210",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "626-393-8885",
"PracticeLocationAddressFaxNumber": "626-821-5380",
"EnumerationDate": "02/12/2009",
"LastUpdateDate": "02/12/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "OU",
"AuthorizedOfficialFirstName": "SANDIA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OPTOMETRIST",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "O.D.",
"AuthorizedOfficialTelephoneNumber": "626-393-8885",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "302F00000X",
"TaxonomyName": "Exclusive Provider Organization",
"LicenseNumber": "12911",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}