{
"Npi": {
"NPI": "1972868271",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "JERWERS",
"FirstName": "DARCIE",
"MiddleName": "LYNN",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "O.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "LAUBENTHAL",
"OtherFirstName": "DARCIE",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "O.D.",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "102 PUTNAM PKWY STE B",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "OTTAWA",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "45875-8657",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "419-523-3937",
"MailingAddressFaxNumber": "419-523-3944",
"FirstLinePracticeLocationAddress": "102 PUTNAM PKWY",
"SecondLinePracticeLocationAddress": "SUITE B",
"PracticeLocationAddressCityName": "OTTAWA",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "45875",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "419-523-3937",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/12/2012",
"LastUpdateDate": "07/22/2025",
"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": "152W00000X",
"TaxonomyName": "Optometrist",
"LicenseNumber": "6131",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}