{"npi":"1083855704","type":"NPI-2","status":"active","name":{"display":"Optometry Clinic, Inc.","other":[],"organization_name":"OPTOMETRY CLINIC, INC.","authorised_official":"Smitesh Patel"},"specialty":{"primary_taxonomy":"152W00000X","primary_taxonomy_description":"Optometrist","slug":"optometrist","schema_org_specialty":null,"all":[{"code":"152W00000X","description":"Optometrist","primary":true,"state":"GA","license":"GA OPT1868"}]},"addresses":[{"purpose":"LOCATION","street_1":"9220 MARNE RD","city":"FORT BENNING","state":"GA","postal_code":"319055515","country_code":"US","phone":"7066823938","fax":"7066823931"},{"purpose":"MAILING","street_1":"312 CASCADE CT","city":"COLUMBUS","state":"GA","postal_code":"319042805","country_code":"US","phone":"7065930709","fax":"7066823931"}],"license":{"state":"GA","number":"GA OPT1868"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"404896730A","state":"GA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2009-03-09","last_updated":"2022-08-23","_meta":{"source":"NPPES","snapshot_date":"2022-08-23","doc_url":"https://findmynpi.com/api"}}