{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "EYECARE OF LIVONIA PLLC",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "5016 WAVEWOOD DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "COMMERCE TOWNSHIP",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48382-1362",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "249-249-4793",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "13700 MIDDLEBELT RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LIVONIA",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "48150-2215",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "734-427-2944",
"PracticeLocationAddressFaxNumber": "734-853-3798",
"EnumerationDate": "04/19/2017",
"LastUpdateDate": "04/19/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KIEFIUK",
"AuthorizedOfficialFirstName": "WILLIAM",
"AuthorizedOfficialMiddleName": "JOHN",
"AuthorizedOfficialTitle": "OPTOMETRIST",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "O.D.",
"AuthorizedOfficialTelephoneNumber": "249-249-4793",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
"LicenseNumber": "4901003019",
"LicenseNumberStateCode": "MI",
"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."
}
}
}
}