{
"Npi": {
"NPI": "1619049731",
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "WEBVISION P.L.L.C.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
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"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "34347 LILLIAN RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CHESTERFIELD",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48047-3127",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "586-725-0257",
"MailingAddressFaxNumber": "586-421-1274",
"FirstLinePracticeLocationAddress": "45400 MARKETPLACE BLVD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CHESTERFIELD",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "48051-3279",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "586-421-1274",
"PracticeLocationAddressFaxNumber": "586-421-1274",
"EnumerationDate": "11/14/2006",
"LastUpdateDate": "12/04/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WEBB",
"AuthorizedOfficialFirstName": "ERIC",
"AuthorizedOfficialMiddleName": "CARL",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "O.D.",
"AuthorizedOfficialTelephoneNumber": "586-899-6076",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
"LicenseNumber": "4901004113",
"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."
}
}
}
}