{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "EYE SHOPPE, INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "115 N MAIN ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SAINT CHARLES",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "63301-2826",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "636-393-8888",
"MailingAddressFaxNumber": "636-393-8404",
"FirstLinePracticeLocationAddress": "115 N MAIN ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SAINT CHARLES",
"PracticeLocationAddressStateName": "MO",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "636-393-8888",
"PracticeLocationAddressFaxNumber": "636-393-8404",
"EnumerationDate": "08/14/2012",
"LastUpdateDate": "03/20/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "EMMING-THOMAS",
"AuthorizedOfficialFirstName": "JULIE",
"AuthorizedOfficialMiddleName": "L.",
"AuthorizedOfficialTitle": "OPTOMETRIST",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "OD",
"AuthorizedOfficialTelephoneNumber": "636-393-8888",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": "2003105591",
"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}