{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "STRONG OPTICAL SHOP",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "601 ELMWOOD AVE",
"SecondLineMailingAddress": "OPTICAL SHOP",
"MailingAddressCityName": "ROCHESTER",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "14642-0001",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "585-275-0378",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2000 EMPIRE BLVD STE 200",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WEBSTER",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "14580-1957",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "585-671-0860",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/20/2018",
"LastUpdateDate": "09/01/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "OATMAN",
"AuthorizedOfficialFirstName": "SUSAN",
"AuthorizedOfficialMiddleName": "M",
"AuthorizedOfficialTitle": "INFORMATION ANALYST",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "585-275-0378",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332H00000X",
"TaxonomyName": "Eyewear Supplier",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}