{
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"OrgName": "STRONG VISION CARE PC",
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"MiddleName": null,
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"FirstLineMailingAddress": "601 NORTHWEST PKWY",
"SecondLineMailingAddress": "B",
"MailingAddressCityName": "AZLE",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "76020-2930",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "817-444-1717",
"MailingAddressFaxNumber": "817-270-5100",
"FirstLinePracticeLocationAddress": "158 INDUSTRIAL AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "AZLE",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "76020-3135",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "817-444-1717",
"PracticeLocationAddressFaxNumber": "817-270-5100",
"EnumerationDate": "09/29/2016",
"LastUpdateDate": "01/28/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "STRONG",
"AuthorizedOfficialFirstName": "JAMIE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "OD",
"AuthorizedOfficialTelephoneNumber": "903-513-4852",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
"LicenseNumber": "8387TG",
"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."
}
}
}
}