{
"Npi": {
"NPI": "1053529867",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "LOREN STUECKLE O.D.,P.S.",
"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 147",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "YAKIMA",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98907-0147",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "509-952-4574",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1321 N COLUMBIA CENTER BLVD",
"SecondLinePracticeLocationAddress": "SUITE 100",
"PracticeLocationAddressCityName": "KENNEWICK",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "99336-2184",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "509-783-2555",
"PracticeLocationAddressFaxNumber": "509-783-0830",
"EnumerationDate": "05/18/2007",
"LastUpdateDate": "01/11/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "STUECKLE",
"AuthorizedOfficialFirstName": "LOREN",
"AuthorizedOfficialMiddleName": "G",
"AuthorizedOfficialTitle": "OPTOMETRIST",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "O.D.",
"AuthorizedOfficialTelephoneNumber": "509-952-4574",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": "1306",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}