{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "VISION CONSULTANTS OF NEW JERSEY, LLC",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"OtherOrgNameTypeCode": null,
"OtherLastName": null,
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"FirstLineMailingAddress": "3007 VANTAGE CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DENVILLE",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "07834-3453",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "973-493-3322",
"MailingAddressFaxNumber": "973-366-6486",
"FirstLinePracticeLocationAddress": "320 W MAIN ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FREEHOLD",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "07728-2524",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "732-780-0767",
"PracticeLocationAddressFaxNumber": "732-780-0787",
"EnumerationDate": "10/21/2013",
"LastUpdateDate": "10/23/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WIN",
"AuthorizedOfficialFirstName": "KELVIN",
"AuthorizedOfficialMiddleName": "T",
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"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "OD",
"AuthorizedOfficialTelephoneNumber": "732-780-0767",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
"LicenseNumber": "27OA00628400",
"LicenseNumberStateCode": "NJ",
"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."
}
}
}
}