{
"Npi": {
"NPI": "1326205568",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DR CARMELA LARINO OD, INC",
"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": "18800 AMAR RD STE A5",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WALNUT",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91789-7100",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "626-965-3878",
"MailingAddressFaxNumber": "626-965-5662",
"FirstLinePracticeLocationAddress": "18800 AMAR RD STE A5",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WALNUT",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91789-7100",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "626-965-3878",
"PracticeLocationAddressFaxNumber": "626-965-5662",
"EnumerationDate": "05/16/2008",
"LastUpdateDate": "10/05/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LARINO",
"AuthorizedOfficialFirstName": "CARMELA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "OD",
"AuthorizedOfficialTelephoneNumber": "626-965-3878",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332H00000X",
"TaxonomyName": "Eyewear Supplier",
"LicenseNumber": "10504",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}