{
"Npi": {
"NPI": "1730300112",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DORIS H. CHAO, O.D., 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": "3000 GRAPEVINE MILLS PKWY",
"SecondLineMailingAddress": "#433",
"MailingAddressCityName": "GRAPEVINE",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "76051-2008",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "972-355-4726",
"MailingAddressFaxNumber": "972-355-4787",
"FirstLinePracticeLocationAddress": "3000 GRAPEVINE MILLS PKWY",
"SecondLinePracticeLocationAddress": "#433",
"PracticeLocationAddressCityName": "GRAPEVINE",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "76051-2008",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "972-355-4726",
"PracticeLocationAddressFaxNumber": "972-355-4787",
"EnumerationDate": "05/01/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CHAO",
"AuthorizedOfficialFirstName": "DORIS",
"AuthorizedOfficialMiddleName": "H",
"AuthorizedOfficialTitle": "OPTOMETRY, PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "O.D.",
"AuthorizedOfficialTelephoneNumber": "972-355-4726",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
"LicenseNumber": "6201TG",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}