{
"Npi": {
"NPI": "1285043307",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BAY PLAZA EYECARE, LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "200 BAYCHESTER AVE",
"SecondLineMailingAddress": "SPACE 111",
"MailingAddressCityName": "BRONX",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10475-4575",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "718-320-7700",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "200 BAYCHESTER AVE",
"SecondLinePracticeLocationAddress": "SPACE 111",
"PracticeLocationAddressCityName": "BRONX",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "10475-4575",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "718-320-7700",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/04/2014",
"LastUpdateDate": "08/04/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "VAYNER",
"AuthorizedOfficialFirstName": "LEONID",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "MGR",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "718-320-7700",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332H00000X",
"TaxonomyName": "Eyewear Supplier",
"LicenseNumber": "TUV007566-1",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}