{
"Npi": {
"NPI": "1093926727",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "PRESCHER",
"FirstName": "ROBERT",
"MiddleName": "CHARLES",
"NamePrefix": "DR.",
"NameSuffix": "JR.",
"Credential": "OD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2108 VIA AGUILA",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SAN CLEMENTE",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92673-5654",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "949-492-5877",
"MailingAddressFaxNumber": "949-453-9169",
"FirstLinePracticeLocationAddress": "115 TECHNOLOGY DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "IRVINE",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92618-2408",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "949-453-8409",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/24/2007",
"LastUpdateDate": "07/08/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
"LicenseNumber": "9338T",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}