{
"Npi": {
"NPI": "1699815258",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "FRUM OPTICIAN",
"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": "1205 JERICHO TPKE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NEW HYDE PARK",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11040-4612",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "516-775-2606",
"MailingAddressFaxNumber": "516-775-2676",
"FirstLinePracticeLocationAddress": "1205 JERICHO TPKE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NEW HYDE PARK",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11040-4612",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "516-775-2606",
"PracticeLocationAddressFaxNumber": "516-775-2676",
"EnumerationDate": "02/06/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RUBIN",
"AuthorizedOfficialFirstName": "BARBARA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "MANAGING PARTNER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "OPTICIAN",
"AuthorizedOfficialTelephoneNumber": "516-775-2606",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332H00000X",
"TaxonomyName": "Eyewear Supplier",
"LicenseNumber": "6007",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}