{
"Npi": {
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DR. PONG EYECARE LLC",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
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"FirstLineMailingAddress": "60 GATHERING HILL COURT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MORRIS PLAINS",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "07950",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "917-817-8219",
"MailingAddressFaxNumber": "973-267-6806",
"FirstLinePracticeLocationAddress": "US RT. 80 AND MOUNT HOPE AVENUE",
"SecondLinePracticeLocationAddress": "JCPENNEY OPTICAL / ROCKAWAY TOWNSQUARE MALL",
"PracticeLocationAddressCityName": "ROCKAWAY",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "07866",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "973-442-7580",
"PracticeLocationAddressFaxNumber": "973-361-5184",
"EnumerationDate": "07/16/2008",
"LastUpdateDate": "07/22/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PONG",
"AuthorizedOfficialFirstName": "CHIN-TSAI",
"AuthorizedOfficialMiddleName": "CYNTHIA",
"AuthorizedOfficialTitle": "OPTOMETRIST",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "O.D.",
"AuthorizedOfficialTelephoneNumber": "917-817-8219",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
"LicenseNumber": "270A00612700",
"LicenseNumberStateCode": "NJ",
"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."
}
}
}
}