{
"Npi": {
"NPI": "1801803994",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "STROUD",
"FirstName": "MALEAH",
"MiddleName": "E",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "OD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "FARNAM",
"OtherFirstName": "MALEAH",
"OtherMiddleName": "E",
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "OD",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "302 W 14TH ST STE 100A",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "JEFFERSONVILLE",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "47130-3751",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "812-284-0660",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "849 PACER DR NW",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CORYDON",
"PracticeLocationAddressStateName": "IN",
"PracticeLocationAddressPostalCode": "47112-2145",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "812-738-2278",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/02/2006",
"LastUpdateDate": "03/27/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
"LicenseNumber": "1642DT",
"LicenseNumberStateCode": "KY",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
"LicenseNumber": "18003355A",
"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}