{
"Npi": {
"NPI": "1407000730",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "OPTICAL SERVICES, LTD",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "6420 W 127TH ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PALOS HEIGHTS",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60463-2269",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "708-371-7838",
"MailingAddressFaxNumber": "708-371-7839",
"FirstLinePracticeLocationAddress": "6420 W 127TH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PALOS HEIGHTS",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60463-2269",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "708-371-7838",
"PracticeLocationAddressFaxNumber": "708-371-7839",
"EnumerationDate": "11/13/2008",
"LastUpdateDate": "11/13/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MANN",
"AuthorizedOfficialFirstName": "JOEL",
"AuthorizedOfficialMiddleName": "U",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "708-371-7838",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332H00000X",
"TaxonomyName": "Eyewear Supplier",
"LicenseNumber": "036043316",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}