{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "NEW INSIGHT FAMILY EYE CARE",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastName": null,
"OtherFirstName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1320 W MAIN ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WATERBURY",
"MailingAddressStateName": "CT",
"MailingAddressPostalCode": "06708-3119",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "203-755-4941",
"MailingAddressFaxNumber": "203-573-8372",
"FirstLinePracticeLocationAddress": "1320 W MAIN ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WATERBURY",
"PracticeLocationAddressStateName": "CT",
"PracticeLocationAddressPostalCode": "06708-3119",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "203-755-4941",
"PracticeLocationAddressFaxNumber": "203-573-8372",
"EnumerationDate": "06/30/2017",
"LastUpdateDate": "07/21/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GERMAIN",
"AuthorizedOfficialFirstName": "ALBERT",
"AuthorizedOfficialMiddleName": "E",
"AuthorizedOfficialTitle": "OWNER/DOCTOR",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "OD",
"AuthorizedOfficialTelephoneNumber": "203-755-4941",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
"LicenseNumber": "000896",
"LicenseNumberStateCode": "CT",
"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."
}
}
}
}