{
"Npi": {
"NPI": "1538335401",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "TASSO S. BUTLER, JR. O.D.",
"ParentOrgTIN": null,
"OrgName": "TASSO BUTLER",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "US RT 219",
"SecondLineMailingAddress": "GREENBRIER VALLEY MALL",
"MailingAddressCityName": "LEWISBURG",
"MailingAddressStateName": "WV",
"MailingAddressPostalCode": "24901",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "304-645-6408",
"MailingAddressFaxNumber": "304-647-3962",
"FirstLinePracticeLocationAddress": "US RT 219",
"SecondLinePracticeLocationAddress": "GREENBRIER VALLEY MALL",
"PracticeLocationAddressCityName": "LEWISBURG",
"PracticeLocationAddressStateName": "WV",
"PracticeLocationAddressPostalCode": "24901",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "304-645-6408",
"PracticeLocationAddressFaxNumber": "304-647-3962",
"EnumerationDate": "05/01/2008",
"LastUpdateDate": "09/18/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BUTLER",
"AuthorizedOfficialFirstName": "TASSO",
"AuthorizedOfficialMiddleName": "S.",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": "JR.",
"AuthorizedOfficialCredential": "O.D.",
"AuthorizedOfficialTelephoneNumber": "304-645-6408",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332H00000X",
"TaxonomyName": "Eyewear Supplier",
"LicenseNumber": "658-OD",
"LicenseNumberStateCode": "WV",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}