{
"Npi": {
"NPI": "1184863334",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BRENDHAN M. FRITTS OD 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": "14 S 8TH ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DUNCAN",
"MailingAddressStateName": "OK",
"MailingAddressPostalCode": "73533-4906",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "580-255-1346",
"MailingAddressFaxNumber": "580-255-1360",
"FirstLinePracticeLocationAddress": "14 S 8TH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "DUNCAN",
"PracticeLocationAddressStateName": "OK",
"PracticeLocationAddressPostalCode": "73533-4906",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "580-255-1346",
"PracticeLocationAddressFaxNumber": "580-255-1360",
"EnumerationDate": "02/11/2009",
"LastUpdateDate": "05/03/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FRITTS",
"AuthorizedOfficialFirstName": "BRENDHAN",
"AuthorizedOfficialMiddleName": "M",
"AuthorizedOfficialTitle": "OPTOMETRIST",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "O.D.",
"AuthorizedOfficialTelephoneNumber": "580-255-1346",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": "6860T",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
"LicenseNumber": "2695",
"LicenseNumberStateCode": "OK",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}