{"npi":"1114082047","type":"NPI-2","status":"active","name":{"display":"Pco PC","other":[],"organization_name":"PCO PC","authorised_official":"Andres Lambaria"},"specialty":{"primary_taxonomy":"152W00000X","primary_taxonomy_description":"Optometrist","slug":"optometrist","schema_org_specialty":null,"all":[{"code":"152W00000X","description":"Optometrist","primary":true,"state":"MI","license":"4901004063"}]},"addresses":[{"purpose":"LOCATION","street_1":"1063 S STATE RD STE 3","city":"DAVISON","state":"MI","postal_code":"484231900","country_code":"US","phone":"8106582020","fax":"8106582021"},{"purpose":"MAILING","street_1":"1063 S STATE RD STE 3","city":"DAVISON","state":"MI","postal_code":"484231900","country_code":"US","phone":"8106582020","fax":"8106585307"}],"license":{"state":"MI","number":"4901004063"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"4475558","state":"MI","issuer":null},{"type_code":"01","label":"Other","value":"900B519890","state":"MI","issuer":"BLUE CROSS BLUE SHIELD"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20070222000446","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MI","pac_id":"4385746320"}]},"enumeration_date":"2006-12-22","last_updated":"2025-09-29","_meta":{"source":"NPPES","snapshot_date":"2025-09-29","doc_url":"https://findmynpi.com/api"}}