{"npi":"1083674113","type":"NPI-1","status":"active","name":{"display":"Dr. Paul Derrick OD","other":[],"first":"PAUL","last":"DERRICK","middle":"W","credential":"OD"},"specialty":{"primary_taxonomy":"152W00000X","primary_taxonomy_description":"Optometrist","slug":"optometrist","schema_org_specialty":null,"all":[{"code":"152W00000X","description":"Optometrist","primary":true,"state":"SC","license":"496"}]},"addresses":[{"purpose":"LOCATION","street_1":"7229 ST ANDREWS ROAD","city":"IRMO","state":"SC","postal_code":"290630722","country_code":"US","phone":"8037812212","fax":"8032332883"},{"purpose":"MAILING","street_1":"22 BEACHWOOD W","city":"ISLE OF PALMS","state":"SC","postal_code":"294512899","country_code":"US","phone":"8037812212","fax":"8032332883"}],"license":{"state":"SC","number":"496"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"D04966","state":"SC","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20060213000596","type_code":"14-41","type_desc":"PRACTITIONER - OPTOMETRY","state":"SC","pac_id":"7214942234"}]},"enumeration_date":"2006-03-24","last_updated":"2017-12-08","_meta":{"source":"NPPES","snapshot_date":"2017-12-08","doc_url":"https://findmynpi.com/api"}}