{"npi":"1053346536","type":"NPI-2","status":"active","name":{"display":"Fox Eyecare Professionals, LLC","other":[],"organization_name":"FOX EYECARE PROFESSIONALS, LLC","authorised_official":"Jamal Fox"},"specialty":{"primary_taxonomy":"152W00000X","primary_taxonomy_description":"Optometrist","slug":"optometrist","schema_org_specialty":null,"all":[{"code":"152W00000X","description":"Optometrist","primary":true,"state":"MO","license":"2006001515"}]},"addresses":[{"purpose":"LOCATION","street_1":"2037 DORSETT VILLAGE ROAD","city":"MARYLAND HEIGHTS","state":"MO","postal_code":"630432058","country_code":"US","phone":"3148383311"},{"purpose":"MAILING","street_1":"2037 DORSETT VILLAGE ROAD","city":"MARYLAND HEIGHTS","state":"MO","postal_code":"630432058","country_code":"US","phone":"3148383311"}],"license":{"state":"MO","number":"2006001515"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"89093MP","state":"NC","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-07-12","last_updated":"2024-03-05","_meta":{"source":"NPPES","snapshot_date":"2024-03-05","doc_url":"https://findmynpi.com/api"}}