{
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"NPI": "1356731038",
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "FAMILY EYECARE OF ORANGE, P.C.",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "501 BOSTON POST RD",
"SecondLineMailingAddress": "SUITE 13",
"MailingAddressCityName": "ORANGE",
"MailingAddressStateName": "CT",
"MailingAddressPostalCode": "06477-3567",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "203-795-3937",
"MailingAddressFaxNumber": "203-891-0737",
"FirstLinePracticeLocationAddress": "501 BOSTON POST RD",
"SecondLinePracticeLocationAddress": "SUITE 13",
"PracticeLocationAddressCityName": "ORANGE",
"PracticeLocationAddressStateName": "CT",
"PracticeLocationAddressPostalCode": "06477-3567",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "203-795-3937",
"PracticeLocationAddressFaxNumber": "203-891-0737",
"EnumerationDate": "02/02/2015",
"LastUpdateDate": "12/13/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LOUIS-CHARLES",
"AuthorizedOfficialFirstName": "NATACHA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER/PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "203-795-3937",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
"LicenseNumber": "2826",
"LicenseNumberStateCode": "CT",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}