{
"Npi": {
"NPI": "1275656209",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DRS. ROUSH & WILL OPTOMETRISTS, INC.",
"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": "781 E. NORTH ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "KENDALLVILLE",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "46755-1225",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "260-347-3458",
"MailingAddressFaxNumber": "260-347-4425",
"FirstLinePracticeLocationAddress": "781 E. NORTH ST.",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "KENDALLVILLE",
"PracticeLocationAddressStateName": "IN",
"PracticeLocationAddressPostalCode": "46755-1225",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "260-347-3458",
"PracticeLocationAddressFaxNumber": "260-347-4425",
"EnumerationDate": "04/06/2007",
"LastUpdateDate": "07/28/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ROUSH",
"AuthorizedOfficialFirstName": "R ALAN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "O.D.",
"AuthorizedOfficialTelephoneNumber": "260-347-3611",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": "56000032A",
"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}