{
"Npi": {
"NPI": "1073674024",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MORLEY",
"FirstName": "SUSAN",
"MiddleName": "L.D.",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "D.O.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MORLEY",
"OtherFirstName": "SUSAN",
"OtherMiddleName": "DENT",
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "O.D.",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "818 W MIDLAND RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "AUBURN",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48611-9200",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "989-662-9890",
"MailingAddressFaxNumber": "989-662-9891",
"FirstLinePracticeLocationAddress": "818 W MIDLAND RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "AUBURN",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "48611-9200",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "989-662-9890",
"PracticeLocationAddressFaxNumber": "989-662-9891",
"EnumerationDate": "12/13/2006",
"LastUpdateDate": "01/05/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
"LicenseNumber": "4901003306",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}