{
"Npi": {
"NPI": "1912110982",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "TRI-COUNTY EYE PHYSICIANS & SURGEONS PC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "352 E BUTLER AVE RT 202",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NEW BRITAIN",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "18901-5209",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "215-396-4218",
"MailingAddressFaxNumber": "215-230-9994",
"FirstLinePracticeLocationAddress": "352 E BUTLER AVE RT 202",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NEW BRITAIN",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "18901-5209",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "215-396-4218",
"PracticeLocationAddressFaxNumber": "215-230-9994",
"EnumerationDate": "05/07/2007",
"LastUpdateDate": "10/30/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "YEAGER",
"AuthorizedOfficialFirstName": "DARLA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OPTICAL SERVICES MANAGER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "ABOC",
"AuthorizedOfficialTelephoneNumber": "215-230-7666",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": "6000006763",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}