{
"Npi": {
"NPI": "1629336847",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "EYE AND CONTACT LENS CENTER PS",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "601 MARKET ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "KIRKLAND",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98033-5422",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "425-822-8204",
"MailingAddressFaxNumber": "425-822-8001",
"FirstLinePracticeLocationAddress": "601 MARKET ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "KIRKLAND",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98033-5422",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "425-822-8204",
"PracticeLocationAddressFaxNumber": "425-822-8001",
"EnumerationDate": "04/25/2012",
"LastUpdateDate": "10/01/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GOLITZ",
"AuthorizedOfficialFirstName": "MICHAEL",
"AuthorizedOfficialMiddleName": "ANTHONY",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "425-822-8204",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": "WA1818",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}