{
"Npi": {
"NPI": "1386228880",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BARTO",
"FirstName": "STEPHANIE",
"MiddleName": "LYNN",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "OD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "SLIFKA",
"OtherFirstName": "STEPHANIE",
"OtherMiddleName": "LYNN",
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "OD",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "1945 W PALMETTO ST UNIT 111",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FLORENCE",
"MailingAddressStateName": "SC",
"MailingAddressPostalCode": "29501-4027",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "843-679-1812",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1945 W PALMETTO ST STE AND112",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FLORENCE",
"PracticeLocationAddressStateName": "SC",
"PracticeLocationAddressPostalCode": "29501-3919",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "843-679-1812",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/11/2021",
"LastUpdateDate": "01/04/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
"LicenseNumber": "OPT.006941",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
"LicenseNumber": "OPT.2316",
"LicenseNumberStateCode": "SC",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}