{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "DAVIS EYE ASSOCIATES INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
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"NameSuffix": null,
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"FirstLineMailingAddress": "3332 E CARMEL LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FAYETTEVILLE",
"MailingAddressStateName": "AR",
"MailingAddressPostalCode": "72701-2834",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "479-283-5767",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2901 E ZION RD STE 13",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FAYETTEVILLE",
"PracticeLocationAddressStateName": "AR",
"PracticeLocationAddressPostalCode": "72703-5070",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "479-695-2152",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/08/2017",
"LastUpdateDate": "11/09/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DAVIS",
"AuthorizedOfficialFirstName": "DINA",
"AuthorizedOfficialMiddleName": "RUTH",
"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialCredential": "OD",
"AuthorizedOfficialTelephoneNumber": "479-695-2152",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
"LicenseNumber": "AR2534",
"LicenseNumberStateCode": "AR",
"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."
}
}
}
}