{
"Npi": {
"NPI": "1326527904",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "PERRY",
"FirstName": "JAMES",
"MiddleName": "BRANDON",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "O.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "PERRY",
"OtherFirstName": "JAMES",
"OtherMiddleName": "BRANDON",
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "O.D",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "8614 WESTWOOD CENTER DR FL 9",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "VIENNA",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "22182-2442",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "703-847-8899",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2617 HIGHWAY 31 S",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PELHAM",
"PracticeLocationAddressStateName": "AL",
"PracticeLocationAddressPostalCode": "35124-1322",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "205-664-1575",
"PracticeLocationAddressFaxNumber": "205-664-1578",
"EnumerationDate": "08/14/2018",
"LastUpdateDate": "10/14/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
"LicenseNumber": "S-E14-TA-B27",
"LicenseNumberStateCode": "AL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}