{
"Npi": {
"NPI": "1841432010",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "A & P OPTICAL, 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": "5248 TORREY PINE CIR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LONG GROVE",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60047-5219",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "847-521-0771",
"MailingAddressFaxNumber": "847-634-0598",
"FirstLinePracticeLocationAddress": "335 N MILWAUKEE AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "VERNON HILLS",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60061-1561",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "847-955-9280",
"PracticeLocationAddressFaxNumber": "847-955-9282",
"EnumerationDate": "04/02/2009",
"LastUpdateDate": "04/15/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "EPSTEIN",
"AuthorizedOfficialFirstName": "PETER",
"AuthorizedOfficialMiddleName": "JAY",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "OD",
"AuthorizedOfficialTelephoneNumber": "847-521-0771",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
"LicenseNumber": "046-006615",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}