{
"Npi": {
"NPI": "1720262538",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "TRI COUNTY EYE PHYSICIANS & SURGEONS P.C.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "319 SECOND STREET PIKE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SOUTHAMPTON",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "18966-3812",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "215-355-4428",
"MailingAddressFaxNumber": "215-256-2584",
"FirstLinePracticeLocationAddress": "319 SECOND STREET PIKE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SOUTHAMPTON",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "18966-3812",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "215-355-4428",
"PracticeLocationAddressFaxNumber": "215-256-2584",
"EnumerationDate": "12/28/2007",
"LastUpdateDate": "01/07/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FISHER",
"AuthorizedOfficialFirstName": "NANCY",
"AuthorizedOfficialMiddleName": "L",
"AuthorizedOfficialTitle": "ACCOUNTS MANAGER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "C.O.A.",
"AuthorizedOfficialTelephoneNumber": "215-396-4213",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": "MD031499E",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}