{
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"OrgName": "MACARIUS & DANIEL",
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"NamePrefix": null,
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"FirstLineMailingAddress": "1615 S CONGRESS AVE STE 105",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DELRAY BEACH",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33445-6326",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "561-275-2020",
"MailingAddressFaxNumber": "561-275-2002",
"FirstLinePracticeLocationAddress": "434 GAMMON PL",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MADISON",
"PracticeLocationAddressStateName": "WI",
"PracticeLocationAddressPostalCode": "53719-1090",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "608-237-3976",
"PracticeLocationAddressFaxNumber": "561-828-8367",
"EnumerationDate": "08/14/2010",
"LastUpdateDate": "08/11/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CANTRELL",
"AuthorizedOfficialFirstName": "KIRSTEN",
"AuthorizedOfficialMiddleName": "PIPHER",
"AuthorizedOfficialTitle": "MANAGER OF HEALTH SERVICES",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "561-208-8464",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
"LicenseNumber": "316335",
"LicenseNumberStateCode": "WI",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "332H00000X",
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"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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."
}
}
}
}