{
"Npi": {
"NPI": "1700112356",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "EYECARE ADVANTAGE, INC.",
"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": "1953 GRAND AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NORTH BALDWIN",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11510-2820",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "516-623-3700",
"MailingAddressFaxNumber": "516-623-3305",
"FirstLinePracticeLocationAddress": "300 BAY SHORE RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NORTH BABYLON",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11703-2823",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "631-586-2700",
"PracticeLocationAddressFaxNumber": "631-491-8755",
"EnumerationDate": "11/02/2009",
"LastUpdateDate": "11/02/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ASHINOFF",
"AuthorizedOfficialFirstName": "STEPHEN",
"AuthorizedOfficialMiddleName": "H.",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "OD",
"AuthorizedOfficialTelephoneNumber": "516-623-3700",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332H00000X",
"TaxonomyName": "Eyewear Supplier",
"LicenseNumber": "003162",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}