{
"Npi": {
"NPI": "1811164882",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MAIN STREET OPTICAL",
"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": "1 N MAIN ST",
"SecondLineMailingAddress": "549",
"MailingAddressCityName": "HONEOYE FALLS",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "14472-1013",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "585-624-2122",
"MailingAddressFaxNumber": "585-624-2122",
"FirstLinePracticeLocationAddress": "1 N MAIN ST",
"SecondLinePracticeLocationAddress": "549",
"PracticeLocationAddressCityName": "HONEOYE FALLS",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "14472-1013",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "585-624-2122",
"PracticeLocationAddressFaxNumber": "585-624-2122",
"EnumerationDate": "05/09/2008",
"LastUpdateDate": "05/09/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KISSACK",
"AuthorizedOfficialFirstName": "BARRY",
"AuthorizedOfficialMiddleName": "T",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "O.D.",
"AuthorizedOfficialTelephoneNumber": "585-624-2122",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332H00000X",
"TaxonomyName": "Eyewear Supplier",
"LicenseNumber": "004875",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}