{
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"OrgName": "COMMUNITY EYE CARE OF INDIANA, INC",
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"FirstLineMailingAddress": "1400 N RITTER AVE",
"SecondLineMailingAddress": "STE 281",
"MailingAddressCityName": "INDIANAPOLIS",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "46219-3052",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "317-357-8663",
"MailingAddressFaxNumber": "317-357-5383",
"FirstLinePracticeLocationAddress": "7250 CLEARVISTA DR",
"SecondLinePracticeLocationAddress": "STE 180",
"PracticeLocationAddressCityName": "INDIANAPOLIS",
"PracticeLocationAddressStateName": "IN",
"PracticeLocationAddressPostalCode": "46256-4692",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "317-594-9410",
"PracticeLocationAddressFaxNumber": "317-357-5383",
"EnumerationDate": "11/07/2006",
"LastUpdateDate": "01/12/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LATONA",
"AuthorizedOfficialFirstName": "JOHN",
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"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "317-594-9410",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
"LicenseNumber": "18003340A",
"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}