{
"Npi": {
"NPI": "1467418822",
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PHOENIXVILLE EYE ASSOCIATES",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "286 GRIFFEN ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PHOENIXVILLE",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "19460-4448",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "610-933-1144",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "286 GRIFFEN ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PHOENIXVILLE",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "19460-4448",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "610-933-1144",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/25/2006",
"LastUpdateDate": "02/21/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FABRIZIANI",
"AuthorizedOfficialFirstName": "BARRY",
"AuthorizedOfficialMiddleName": "R",
"AuthorizedOfficialTitle": "OWNER/AUTHORIZED OFFICIAL",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "OD",
"AuthorizedOfficialTelephoneNumber": "610-933-1144",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
"LicenseNumber": "OE6000265",
"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."
}
}
}
}