{
"Npi": {
"NPI": "1043722564",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HOLLY'S HEARING AID CENTER",
"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": "2845 N RIDGE RD E",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ASHTABULA",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "44004-4134",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "440-992-0101",
"MailingAddressFaxNumber": "440-992-0096",
"FirstLinePracticeLocationAddress": "9875 JOHNNYCAKE RIDGE RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MENTOR",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "44060-6748",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "440-358-1599",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/25/2017",
"LastUpdateDate": "10/25/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HARROLD",
"AuthorizedOfficialFirstName": "ERICHA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OPERATIONS MANAGER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "HAS",
"AuthorizedOfficialTelephoneNumber": "440-992-0101",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332S00000X",
"TaxonomyName": "Hearing Aid Equipment",
"LicenseNumber": "03062",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}