{"npi":"1114908092","type":"NPI-2","status":"active","name":{"display":"Goose Creek Vision Center, Inc.","other":[],"organization_name":"GOOSE CREEK VISION CENTER, INC.","authorised_official":"Melvin Watsky"},"specialty":{"primary_taxonomy":"152W00000X","primary_taxonomy_description":"Optometrist","slug":"optometrist","schema_org_specialty":null,"all":[{"code":"152W00000X","description":"Optometrist","primary":true,"state":"SC","license":"SC568"}]},"addresses":[{"purpose":"LOCATION","street_1":"425 REDBANK RD","city":"GOOSE CREEK","state":"SC","postal_code":"294454505","country_code":"US","phone":"8437971264","fax":"8437643602"},{"purpose":"MAILING","street_1":"425 REDBANK RD","city":"GOOSE CREEK","state":"SC","postal_code":"294454505","country_code":"US","phone":"8437971264","fax":"8437643602"}],"license":{"state":"SC","number":"SC568"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"DA9765","state":"SC","issuer":null},{"type_code":"01","label":"Other","value":"WA260115","state":"SC","issuer":"HIGHMARK BC/BS GROUP #"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-11-08","last_updated":"2009-03-24","_meta":{"source":"NPPES","snapshot_date":"2009-03-24","doc_url":"https://findmynpi.com/api"}}