{
"Npi": {
"NPI": "1811103187",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "PAUL J BEFANIS MD PA DBA BREVARD EYE CENTER",
"ParentOrgTIN": null,
"OrgName": "PAUL J BEFANIS MD PA",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "665 S APOLLO BLVD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MELBOURNE",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32901-1485",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "321-984-3200",
"MailingAddressFaxNumber": "321-984-0032",
"FirstLinePracticeLocationAddress": "160 MALABAR RD SW",
"SecondLinePracticeLocationAddress": "SUITE 105",
"PracticeLocationAddressCityName": "PALM BAY",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32907-2911",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "321-674-0200",
"PracticeLocationAddressFaxNumber": "321-674-3922",
"EnumerationDate": "05/15/2007",
"LastUpdateDate": "06/04/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BEFANIS",
"AuthorizedOfficialFirstName": "PAUL",
"AuthorizedOfficialMiddleName": "J",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "321-984-3200",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332H00000X",
"TaxonomyName": "Eyewear Supplier",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}