{
"Npi": {
"NPI": "1427500651",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "NEURO OPTOMETRY ASSOCIATES OF WARMINSTER LLC",
"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": "3225 COLONIAL RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HATBORO",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "19040-1633",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "631-512-2063",
"MailingAddressFaxNumber": "215-565-2572",
"FirstLinePracticeLocationAddress": "100 E STREET RD",
"SecondLinePracticeLocationAddress": "VISION CENTER IN WAL MART",
"PracticeLocationAddressCityName": "WARMINSTER",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "18974-3400",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "215-293-9015",
"PracticeLocationAddressFaxNumber": "215-565-2572",
"EnumerationDate": "11/04/2016",
"LastUpdateDate": "11/04/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KATZ",
"AuthorizedOfficialFirstName": "MICHAEL",
"AuthorizedOfficialMiddleName": "D",
"AuthorizedOfficialTitle": "OPTOMETRIST SOLE OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "OD",
"AuthorizedOfficialTelephoneNumber": "631-512-2063",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
"LicenseNumber": "OEG002574",
"LicenseNumberStateCode": "PA",
"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."
}
}
}
}