{
"Npi": {
"NPI": "1154484145",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DOCTORS OPTICAL LLC",
"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": "3001 W ANDREW JOHNSON HWY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MORRISTOWN",
"MailingAddressStateName": "TN",
"MailingAddressPostalCode": "37814-3614",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "423-587-2450",
"MailingAddressFaxNumber": "423-585-4249",
"FirstLinePracticeLocationAddress": "3001 W ANDREW JOHNSON HWY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MORRISTOWN",
"PracticeLocationAddressStateName": "TN",
"PracticeLocationAddressPostalCode": "37814-3614",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "423-587-2450",
"PracticeLocationAddressFaxNumber": "423-585-4249",
"EnumerationDate": "12/19/2006",
"LastUpdateDate": "06/04/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JOSLIN",
"AuthorizedOfficialFirstName": "BRYCE",
"AuthorizedOfficialMiddleName": "H",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "OD",
"AuthorizedOfficialTelephoneNumber": "423-587-2450",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332H00000X",
"TaxonomyName": "Eyewear Supplier",
"LicenseNumber": "6437",
"LicenseNumberStateCode": "TN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}