{
"Npi": {
"NPI": "1700049533",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "NEWBURGH EYE CARE, P.C.",
"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": "8688 RUFFIAN LN",
"SecondLineMailingAddress": "SUITE B",
"MailingAddressCityName": "NEWBURGH",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "47630-3411",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "812-853-8191",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "8688 RUFFIAN LN",
"SecondLinePracticeLocationAddress": "SUITE B",
"PracticeLocationAddressCityName": "NEWBURGH",
"PracticeLocationAddressStateName": "IN",
"PracticeLocationAddressPostalCode": "47630-3411",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "812-853-8191",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/02/2008",
"LastUpdateDate": "07/02/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GILLES",
"AuthorizedOfficialFirstName": "JOHN",
"AuthorizedOfficialMiddleName": "A",
"AuthorizedOfficialTitle": "OPTOMETRIST",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "O.D.",
"AuthorizedOfficialTelephoneNumber": "812-853-8191",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QS0132X",
"TaxonomyName": "Ophthalmologic Surgery Clinic/Center",
"LicenseNumber": "18002239",
"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}