{
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"IsOrgSubpart": "N",
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"OrgName": "COMPLETE FAMILY EYECARE INC",
"LastName": null,
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"NamePrefix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "6 E 2ND AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HUTCHINSON",
"MailingAddressStateName": "KS",
"MailingAddressPostalCode": "67501-7102",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "620-663-6060",
"MailingAddressFaxNumber": "620-663-4253",
"FirstLinePracticeLocationAddress": "6 E 2ND AVE",
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"PracticeLocationAddressCityName": "HUTCHINSON",
"PracticeLocationAddressStateName": "KS",
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"PracticeLocationAddressTelephoneNumber": "620-663-6060",
"PracticeLocationAddressFaxNumber": "620-663-4253",
"EnumerationDate": "02/23/2007",
"LastUpdateDate": "04/16/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "POWERS",
"AuthorizedOfficialFirstName": "VALERIE",
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"AuthorizedOfficialTitle": "OFFICE MANAGER",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "620-663-6060",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
"LicenseNumber": "KS1288",
"LicenseNumberStateCode": "KS",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}