{
"Npi": {
"NPI": "1225292741",
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"ReplacementNPI": null,
"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MICHAEL DELLIS, O.D., P.C.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 779",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HILLSBORO",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "76645-0779",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "254-582-2351",
"MailingAddressFaxNumber": "254-582-7017",
"FirstLinePracticeLocationAddress": "1400 E FRANKLIN ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HILLSBORO",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "76645-2676",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "254-582-2351",
"PracticeLocationAddressFaxNumber": "254-582-7017",
"EnumerationDate": "07/14/2008",
"LastUpdateDate": "06/21/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DELLIS",
"AuthorizedOfficialFirstName": "MICHAEL",
"AuthorizedOfficialMiddleName": "DEAN",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "O.D.",
"AuthorizedOfficialTelephoneNumber": "254-582-2351",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
"LicenseNumber": "2348T",
"LicenseNumberStateCode": "TX",
"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."
}
}
}
}