{
"Npi": {
"NPI": "1801194964",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "KENNEDY & PERKINS, INC.",
"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": "80 WHITNEY AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NEW HAVEN",
"MailingAddressStateName": "CT",
"MailingAddressPostalCode": "06510-1217",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "203-624-3145",
"MailingAddressFaxNumber": "203-867-8733",
"FirstLinePracticeLocationAddress": "1957 WHITNEY AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NORTH HAVEN",
"PracticeLocationAddressStateName": "CT",
"PracticeLocationAddressPostalCode": "06473-4432",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "203-281-0290",
"PracticeLocationAddressFaxNumber": "203-248-6503",
"EnumerationDate": "03/14/2011",
"LastUpdateDate": "03/14/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KENNEDY",
"AuthorizedOfficialFirstName": "RICHARD",
"AuthorizedOfficialMiddleName": "L",
"AuthorizedOfficialTitle": "VICE PRESIDENT",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": "JR.",
"AuthorizedOfficialCredential": "LDO",
"AuthorizedOfficialTelephoneNumber": "203-624-3145",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332H00000X",
"TaxonomyName": "Eyewear Supplier",
"LicenseNumber": "001026",
"LicenseNumberStateCode": "CT",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}