{"npi":"1073663704","type":"NPI-2","status":"active","name":{"display":"Lakeshore Vision Centers Ltd","other":[],"organization_name":"LAKESHORE VISION CENTERS LTD","authorised_official":"Susan Gorz"},"specialty":{"primary_taxonomy":"261Q00000X","primary_taxonomy_description":"Clinic/Center","slug":"clinic-center","schema_org_specialty":null,"all":[{"code":"261Q00000X","description":"Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1217 ELLIS ST","city":"KEWAUNEE","state":"WI","postal_code":"54216","country_code":"US","phone":"9203882020","fax":"9203883594"},{"purpose":"MAILING","street_1":"1217 ELLIS ST","city":"KEWAUNEE","state":"WI","postal_code":"54216","country_code":"US","phone":"9203882020","fax":"9203883594"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"000047383","state":"WI","issuer":"MEDICARE PTAN"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-01-12","last_updated":"2009-04-22","_meta":{"source":"NPPES","snapshot_date":"2009-04-22","doc_url":"https://findmynpi.com/api"}}