{
"Npi": {
"NPI": "1124352588",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "NIELSEN OPTICAL, PC",
"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": "482 AUSTRAW RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LIGONIER",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "15658-2489",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "724-238-0402",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2200 GREENGATE CENTRE",
"SecondLinePracticeLocationAddress": "WAL-MART VISION CENTER",
"PracticeLocationAddressCityName": "GREENSBURG",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "15601",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "724-830-2452",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/01/2009",
"LastUpdateDate": "12/04/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ROST",
"AuthorizedOfficialFirstName": "MELISSA",
"AuthorizedOfficialMiddleName": "NIELSEN",
"AuthorizedOfficialTitle": "OPTOMETRIST",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "O.D.",
"AuthorizedOfficialTelephoneNumber": "724-238-0402",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QH0100X",
"TaxonomyName": "Health Service Clinic/Center",
"LicenseNumber": "OET009008",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}