{
"Npi": {
"NPI": "1770509721",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "KROLL",
"FirstName": "ARNOLD",
"MiddleName": "JOSEPH",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "MD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "115 WATER ST",
"SecondLineMailingAddress": "SUITE 101",
"MailingAddressCityName": "MILFORD",
"MailingAddressStateName": "MA",
"MailingAddressPostalCode": "01757-3015",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "508-422-9400",
"MailingAddressFaxNumber": "508-422-9409",
"FirstLinePracticeLocationAddress": "145 WEST ST",
"SecondLinePracticeLocationAddress": "GOODMAN EYE CENTER",
"PracticeLocationAddressCityName": "MILFORD",
"PracticeLocationAddressStateName": "MA",
"PracticeLocationAddressPostalCode": "01757-2278",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "508-422-9400",
"PracticeLocationAddressFaxNumber": "508-422-9409",
"EnumerationDate": "07/14/2006",
"LastUpdateDate": "02/01/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "207W00000X",
"TaxonomyName": "Ophthalmology Physician",
"LicenseNumber": "28444",
"LicenseNumberStateCode": "MA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "207WX0108X",
"TaxonomyName": "Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician",
"LicenseNumber": "28444",
"LicenseNumberStateCode": "MA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}