{
"Npi": {
"NPI": "1861933624",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HD VISION EYE CARE, LLC",
"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": "10938 PEMBROKE RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MIRAMAR",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33025-1706",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "954-399-8947",
"MailingAddressFaxNumber": "954-354-9838",
"FirstLinePracticeLocationAddress": "10938 PEMBROKE RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MIRAMAR",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33025",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "954-399-8947",
"PracticeLocationAddressFaxNumber": "954-354-9838",
"EnumerationDate": "03/13/2017",
"LastUpdateDate": "07/24/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SCOTT",
"AuthorizedOfficialFirstName": "CURTIS",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OPTOMETRIST",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "OD",
"AuthorizedOfficialTelephoneNumber": "954-399-8947",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM2500X",
"TaxonomyName": "Medical Specialty Clinic/Center",
"LicenseNumber": "OPC 5071",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}