{
"Npi": {
"NPI": "1255516928",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "NANCY A BALIN MD F A C S",
"ParentOrgTIN": null,
"OrgName": "NANCY A BALIN MD F A C S",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "269 LOCUST ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NORTHAMPTON",
"MailingAddressStateName": "MA",
"MailingAddressPostalCode": "01062-2003",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "413-584-6666",
"MailingAddressFaxNumber": "413-584-7428",
"FirstLinePracticeLocationAddress": "269 LOCUST ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NORTHAMPTON",
"PracticeLocationAddressStateName": "MA",
"PracticeLocationAddressPostalCode": "01062-2003",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "413-584-6666",
"PracticeLocationAddressFaxNumber": "413-584-7428",
"EnumerationDate": "12/31/2007",
"LastUpdateDate": "06/21/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BALIN",
"AuthorizedOfficialFirstName": "NANCY",
"AuthorizedOfficialMiddleName": "A",
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D., F.A.C.S.",
"AuthorizedOfficialTelephoneNumber": "413-584-6666",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
"LicenseNumber": "MA4816",
"LicenseNumberStateCode": "MA",
"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."
}
}
}
}