{
"Npi": {
"NPI": "1780866202",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "AMY E. BISHOP, O.D.",
"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": "125 AVENUE B NW",
"SecondLineMailingAddress": "PO BOX 256",
"MailingAddressCityName": "CHILDRESS",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "79201-4513",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "940-937-2015",
"MailingAddressFaxNumber": "940-937-6889",
"FirstLinePracticeLocationAddress": "125 AVENUE B NW",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CHILDRESS",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "79201-4513",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "940-937-2015",
"PracticeLocationAddressFaxNumber": "940-937-6889",
"EnumerationDate": "11/27/2007",
"LastUpdateDate": "12/07/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BISHOP",
"AuthorizedOfficialFirstName": "AMY",
"AuthorizedOfficialMiddleName": "E",
"AuthorizedOfficialTitle": "OPTOMETRIST",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "O.D.",
"AuthorizedOfficialTelephoneNumber": "940-937-2015",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332H00000X",
"TaxonomyName": "Eyewear Supplier",
"LicenseNumber": "4950TG",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}