{
"Npi": {
"NPI": "1124802939",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ZIELINSKI",
"FirstName": "JASON",
"MiddleName": "B",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "ABOC/NCLEC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1850 ANDERSON RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PETOSKEY",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "49770-8893",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "231-439-0078",
"MailingAddressFaxNumber": "231-439-0080",
"FirstLinePracticeLocationAddress": "1850 ANDERSON RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PETOSKEY",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "49770-8893",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "231-439-0078",
"PracticeLocationAddressFaxNumber": "231-439-0080",
"EnumerationDate": "08/22/2023",
"LastUpdateDate": "08/22/2023",
"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": "156FC0800X",
"TaxonomyName": "Contact Lens Technician/Technologist",
"LicenseNumber": "178176",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "156FC0801X",
"TaxonomyName": "Contact Lens Fitter",
"LicenseNumber": "178176",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "156FX1800X",
"TaxonomyName": "Optician",
"LicenseNumber": "178176",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}