{
"Npi": {
"NPI": "1649413253",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "FREELAND EYE ASSOCIATES",
"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": "509 CENTRE ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FREELAND",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "18224-1901",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "570-636-0355",
"MailingAddressFaxNumber": "570-636-3285",
"FirstLinePracticeLocationAddress": "509 CENTRE ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FREELAND",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "18224-1901",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "570-636-0355",
"PracticeLocationAddressFaxNumber": "570-636-3285",
"EnumerationDate": "04/13/2009",
"LastUpdateDate": "01/21/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ANZELMI",
"AuthorizedOfficialFirstName": "JOHN",
"AuthorizedOfficialMiddleName": "T",
"AuthorizedOfficialTitle": "SOLE PROP",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "O.D.",
"AuthorizedOfficialTelephoneNumber": "570-636-0355",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332H00000X",
"TaxonomyName": "Eyewear Supplier",
"LicenseNumber": "OEG000326",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}