{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ARGOS VISION AND EYE CARE CENTER, LLC",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
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"OtherCredential": null,
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"FirstLineMailingAddress": "15920 SHADY GROVE RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GAITHERSBURG",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "20877-1315",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "301-637-3181",
"MailingAddressFaxNumber": "301-637-5242",
"FirstLinePracticeLocationAddress": "15920 SHADY GROVE ROAD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GAITHERSBURG",
"PracticeLocationAddressStateName": "MD",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "301-637-3181",
"PracticeLocationAddressFaxNumber": "301-637-5242",
"EnumerationDate": "12/09/2011",
"LastUpdateDate": "03/14/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KUMP",
"AuthorizedOfficialFirstName": "LEILA",
"AuthorizedOfficialMiddleName": "I",
"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "301-637-3181",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QS0132X",
"TaxonomyName": "Ophthalmologic Surgery Clinic/Center",
"LicenseNumber": "D0067770",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}