{
"Npi": {
"NPI": "1972862670",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "JONI'S OPTICAL",
"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": "615 S.MAIN ST.",
"SecondLineMailingAddress": "SUITE B",
"MailingAddressCityName": "MONTICELLO",
"MailingAddressStateName": "IA",
"MailingAddressPostalCode": "52310-1747",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "319-465-3116",
"MailingAddressFaxNumber": "319-465-3116",
"FirstLinePracticeLocationAddress": "615 S MAIN ST",
"SecondLinePracticeLocationAddress": "SUITE B",
"PracticeLocationAddressCityName": "MONTICELLO",
"PracticeLocationAddressStateName": "IA",
"PracticeLocationAddressPostalCode": "52310-1747",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "319-465-3116",
"PracticeLocationAddressFaxNumber": "319-465-3116",
"EnumerationDate": "05/15/2012",
"LastUpdateDate": "05/15/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "EBY",
"AuthorizedOfficialFirstName": "JONI",
"AuthorizedOfficialMiddleName": "R.",
"AuthorizedOfficialTitle": "CERTIFIED OPTICIAN",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "319-465-3116",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332H00000X",
"TaxonomyName": "Eyewear Supplier",
"LicenseNumber": "153007669",
"LicenseNumberStateCode": "IA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}