{
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DRS. BARNETT, ANDERSEN, & ASSOCIATES, OPTOMETRIST, P.C.",
"LastName": null,
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"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
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"OtherNamePrefix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "4319 LAWRENCEVILLE HWY NW",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LILBURN",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30047-3416",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "770-921-4707",
"MailingAddressFaxNumber": "770-925-8973",
"FirstLinePracticeLocationAddress": "4319 LAWRENCEVILLE HWY NW",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LILBURN",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "30047-3416",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "770-921-4707",
"PracticeLocationAddressFaxNumber": "770-925-8973",
"EnumerationDate": "01/25/2007",
"LastUpdateDate": "02/26/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ANDERSEN",
"AuthorizedOfficialFirstName": "JOSEPH",
"AuthorizedOfficialMiddleName": "LEIF",
"AuthorizedOfficialTitle": "VICE PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "O.D.",
"AuthorizedOfficialTelephoneNumber": "770-921-4707",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
"LicenseNumber": "683T",
"LicenseNumberStateCode": "GA",
"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."
}
}
}
}