{"npi":"1003907650","type":"NPI-1","status":"active","name":{"display":"Dr. Mary Lilly O.D.","other":[],"first":"MARY","last":"LILLY","middle":"SUSAN","credential":"O.D."},"specialty":{"primary_taxonomy":"152W00000X","primary_taxonomy_description":"Optometrist","slug":"optometrist","schema_org_specialty":null,"all":[{"code":"152W00000X","description":"Optometrist","primary":true,"state":"FL","license":"OPC 3537"}]},"addresses":[{"purpose":"LOCATION","street_1":"3875 US HIGHWAY 301 S","city":"RIVERVIEW","state":"FL","postal_code":"33578","country_code":"US","phone":"8132463186","fax":"8135422246"},{"purpose":"MAILING","street_1":"2306 GOLF MANOR BLVD","city":"VALRICO","state":"FL","postal_code":"335967852","country_code":"US","phone":"8137165150"}],"license":{"state":"FL","number":"OPC 3537"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"6205704 00","state":"FL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040823001006","type_code":"14-41","type_desc":"PRACTITIONER - OPTOMETRY","state":"FL","pac_id":"9335113620"}]},"enumeration_date":"2006-09-27","last_updated":"2018-05-22","_meta":{"source":"NPPES","snapshot_date":"2018-05-22","doc_url":"https://findmynpi.com/api"}}