{
"Npi": {
"NPI": "1306975420",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "THE VISION STORE OF LAPLACE, 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": "370 BELLE TERRE BLVD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LA PLACE",
"MailingAddressStateName": "LA",
"MailingAddressPostalCode": "70068-2435",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "985-652-3937",
"MailingAddressFaxNumber": "984-652-3941",
"FirstLinePracticeLocationAddress": "370 BELLE TERRE BLVD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LA PLACE",
"PracticeLocationAddressStateName": "LA",
"PracticeLocationAddressPostalCode": "70068-2435",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "985-652-3937",
"PracticeLocationAddressFaxNumber": "984-652-3941",
"EnumerationDate": "03/05/2007",
"LastUpdateDate": "02/12/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KURICA",
"AuthorizedOfficialFirstName": "PHILIP",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "985-652-3937",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332H00000X",
"TaxonomyName": "Eyewear Supplier",
"LicenseNumber": "16584",
"LicenseNumberStateCode": "LA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}