{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "CHRISTOPHER J. ORENIC, O.D. INC",
"LastName": null,
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"NameSuffix": null,
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"FirstLineMailingAddress": "2101 ROSECRANS AVE STE 1215",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "EL SEGUNDO",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "90245-4749",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "310-210-6990",
"MailingAddressFaxNumber": "310-321-6170",
"FirstLinePracticeLocationAddress": "2101 ROSECRANS AVE STE 1215",
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"PracticeLocationAddressCityName": "EL SEGUNDO",
"PracticeLocationAddressStateName": "CA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "310-210-6990",
"PracticeLocationAddressFaxNumber": "310-321-6170",
"EnumerationDate": "01/15/2007",
"LastUpdateDate": "11/26/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ORENIC",
"AuthorizedOfficialFirstName": "CHRISTOPHER",
"AuthorizedOfficialMiddleName": "J",
"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialCredential": "O.D.",
"AuthorizedOfficialTelephoneNumber": "310-321-6990",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
"LicenseNumber": "OPT 10056 TPL",
"LicenseNumberStateCode": "CA",
"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."
}
}
}
}