{"npi":"1134422355","type":"NPI-1","status":"active","name":{"display":"Chisom Iwuanyanwu O.D","other":[],"first":"CHISOM","last":"IWUANYANWU","credential":"O.D"},"specialty":{"primary_taxonomy":"152W00000X","primary_taxonomy_description":"Optometrist","slug":"optometrist","schema_org_specialty":null,"all":[{"code":"152W00000X","description":"Optometrist","primary":true,"state":"NY","license":"TUV007637-1"}]},"addresses":[{"purpose":"LOCATION","street_1":"217 14 MERRICK BLVD","city":"LAURELTON","state":"NY","postal_code":"114131726","country_code":"US","phone":"7189780100"},{"purpose":"MAILING","street_1":"217 14 MERRICK BLVD","city":"LAURELTON","state":"NY","postal_code":"114131726","country_code":"US","phone":"7189780100"}],"license":{"state":"NY","number":"TUV007637-1"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"03556163","state":"NY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20120906000031","type_code":"14-41","type_desc":"PRACTITIONER - OPTOMETRY","state":"NY","pac_id":"6204083751"}]},"enumeration_date":"2010-12-09","last_updated":"2024-06-11","_meta":{"source":"NPPES","snapshot_date":"2024-06-11","doc_url":"https://findmynpi.com/api"}}