{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "FOOZZOLE INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1200 PRESIDENTS WAY SE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HUNTSVILLE",
"MailingAddressStateName": "AL",
"MailingAddressPostalCode": "35803-3673",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "256-797-3606",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "11610 S MEMORIAL PKWY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HUNTSVILLE",
"PracticeLocationAddressStateName": "AL",
"PracticeLocationAddressPostalCode": "35803-2152",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "256-881-3763",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/19/2010",
"LastUpdateDate": "03/19/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ISFAHANI",
"AuthorizedOfficialFirstName": "AMIR",
"AuthorizedOfficialMiddleName": "ALI",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "O.D.",
"AuthorizedOfficialTelephoneNumber": "256-797-3606",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
"LicenseNumber": "S-C19-TA-840",
"LicenseNumberStateCode": "AL",
"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."
}
}
}
}