{
"Npi": {
"NPI": "1053713552",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PHILIP R. MILL, OD AND MICHAEL D. SUTTON, OD INC.",
"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": "3715 RAILROAD AVE STE C",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PITTSBURG",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "94565-5236",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "925-432-6484",
"MailingAddressFaxNumber": "925-432-3878",
"FirstLinePracticeLocationAddress": "3715 RAILROAD AVE STE C",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PITTSBURG",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "94565-5236",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "925-432-6484",
"PracticeLocationAddressFaxNumber": "925-432-3878",
"EnumerationDate": "09/16/2014",
"LastUpdateDate": "09/16/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SUTTON",
"AuthorizedOfficialFirstName": "MICHAEL",
"AuthorizedOfficialMiddleName": "D.",
"AuthorizedOfficialTitle": "OPTOMETRIST",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "OD",
"AuthorizedOfficialTelephoneNumber": "925-432-6484",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
"LicenseNumber": "13917 TPL",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}