{
"Npi": {
"NPI": "1891963203",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "PERKINS GLANCY",
"FirstName": "LYNN",
"MiddleName": "E",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "OPTICIAN NCLC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "300 E OSBORN",
"SecondLineMailingAddress": "SUITE 201",
"MailingAddressCityName": "PHOENIX",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "85012",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "602-277-3152",
"MailingAddressFaxNumber": "602-234-1552",
"FirstLinePracticeLocationAddress": "300 E OSBORN",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PHY",
"PracticeLocationAddressStateName": "AZ",
"PracticeLocationAddressPostalCode": "85012",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "602-277-3152",
"PracticeLocationAddressFaxNumber": "602-234-1552",
"EnumerationDate": "02/19/2008",
"LastUpdateDate": "02/19/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "156FC0801X",
"TaxonomyName": "Contact Lens Fitter",
"LicenseNumber": "613",
"LicenseNumberStateCode": "AZ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}