{"npi":"1003040262","type":"NPI-1","status":"active","name":{"display":"Jacquelyn O'banion MD","other":[],"first":"JACQUELYN","last":"O'BANION","middle":"A","credential":"MD"},"specialty":{"primary_taxonomy":"207W00000X","primary_taxonomy_description":"Ophthalmology Physician","slug":"ophthalmology-physician","schema_org_specialty":null,"all":[{"code":"390200000X","description":"Student in an Organized Health Care Education/Training Program","primary":false,"state":null,"license":null},{"code":"207W00000X","description":"Ophthalmology Physician","primary":true,"state":"OK","license":"27920"}]},"addresses":[{"purpose":"LOCATION","street_1":"608 STANTON L YOUNG BLVD","city":"OKLAHOMA CITY","state":"OK","postal_code":"731045014","country_code":"US","phone":"4052716060","fax":"4052711926"},{"purpose":"MAILING","street_1":"1365B CLIFTON RD NE","city":"ATLANTA","state":"GA","postal_code":"303221013","country_code":"US","street_2":"EMORY CLINIC BUILDING B","phone":"4047782020"}],"license":{"state":"OK","number":"27920"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"200306430B","state":"OK","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20160119001455","type_code":"14-18","type_desc":"PRACTITIONER - OPHTHALMOLOGY","state":"GA","pac_id":"4789827858"}]},"enumeration_date":"2009-05-03","last_updated":"2017-02-13","_meta":{"source":"NPPES","snapshot_date":"2017-02-13","doc_url":"https://findmynpi.com/api"}}