{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "RUSSELL EYECARE INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "11 LINDSAY DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "UNIONTOWN",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "15401-9430",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "412-496-0327",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1450 MORRELL AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CONNELLSVILLE",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "15425-3809",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "724-626-4486",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/18/2011",
"LastUpdateDate": "06/18/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RUSSELL",
"AuthorizedOfficialFirstName": "BARRY",
"AuthorizedOfficialMiddleName": "DAVID",
"AuthorizedOfficialTitle": "PRESIDENT/ OPTOMETRIST",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "O.D.",
"AuthorizedOfficialTelephoneNumber": "412-496-0327",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "152WC0802X",
"TaxonomyName": "Corneal and Contact Management Optometrist",
"LicenseNumber": "OEG000421",
"LicenseNumberStateCode": "PA",
"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."
}
}
}
}