{
"Npi": {
"NPI": "1447491998",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BLANSETT",
"FirstName": "DEBORAH",
"MiddleName": "KELLER",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "O.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "KELLER",
"OtherFirstName": "DEBORAH",
"OtherMiddleName": "ANN",
"OtherNamePrefix": "MS.",
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "1720 UNIVERSITY BLVD STE 305",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BIRMINGHAM",
"MailingAddressStateName": "AL",
"MailingAddressPostalCode": "35233-1816",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "205-325-8620",
"MailingAddressFaxNumber": "205-325-8547",
"FirstLinePracticeLocationAddress": "1030 FAIRFAX PARK",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TUSCALOOSA",
"PracticeLocationAddressStateName": "AL",
"PracticeLocationAddressPostalCode": "35406-2806",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "205-325-8620",
"PracticeLocationAddressFaxNumber": "205-325-8547",
"EnumerationDate": "03/13/2009",
"LastUpdateDate": "08/21/2025",
"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": "S872TA405",
"LicenseNumberStateCode": "AL",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
"LicenseNumber": "6359T",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}