{
"Npi": {
"NPI": "1700265972",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "EYECARE OPTICS, LLC",
"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": "4156 ROWAN RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NEW PORT RICHEY",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34653-6116",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "727-376-8055",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "4156 ROWAN RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NEW PORT RICHEY",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "34653-6116",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "727-376-8055",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/21/2015",
"LastUpdateDate": "05/21/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WOODLAND",
"AuthorizedOfficialFirstName": "ROBERT",
"AuthorizedOfficialMiddleName": "F",
"AuthorizedOfficialTitle": "OPTICIAN",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LDO",
"AuthorizedOfficialTelephoneNumber": "727-376-8055",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332H00000X",
"TaxonomyName": "Eyewear Supplier",
"LicenseNumber": "DO2449",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}