{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "ROBINSON EYECARE CLINIC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "P.O. BOX 672",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LAKE VILLAGE",
"MailingAddressStateName": "AR",
"MailingAddressPostalCode": "71653-0672",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "870-265-2274",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1655 HWY 65 SOUTH",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LAKE VILLAGE",
"PracticeLocationAddressStateName": "AR",
"PracticeLocationAddressPostalCode": "71653",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "870-265-2274",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/01/2007",
"LastUpdateDate": "12/29/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ROBINSON",
"AuthorizedOfficialFirstName": "MARK",
"AuthorizedOfficialMiddleName": "STEPHEN",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "OD",
"AuthorizedOfficialTelephoneNumber": "870-265-2274",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
"LicenseNumber": "2340",
"LicenseNumberStateCode": "AR",
"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."
}
}
}
}