{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "US VISION GROUP LLC",
"LastName": null,
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"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
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"FirstLineMailingAddress": "1515 N TOWN EAST BLVD",
"SecondLineMailingAddress": "SUITE 523B",
"MailingAddressCityName": "MESQUITE",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75150-4157",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "972-638-8600",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1515 N TOWN EAST BLVD",
"SecondLinePracticeLocationAddress": "SUITE 523B",
"PracticeLocationAddressCityName": "MESQUITE",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "75150-4157",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "972-638-8600",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/10/2011",
"LastUpdateDate": "12/10/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MAMDANI",
"AuthorizedOfficialFirstName": "TASNEEM",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "O.D.",
"AuthorizedOfficialTelephoneNumber": "505-232-2020",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
"LicenseNumber": "7845T",
"LicenseNumberStateCode": "TX",
"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."
}
}
}
}