{"npi":"1134448806","type":"NPI-2","status":"active","name":{"display":"Carolina Vision Associates, LLC","other":[],"organization_name":"CAROLINA VISION ASSOCIATES, LLC","authorised_official":"Kimberly Willard"},"specialty":{"primary_taxonomy":"152W00000X","primary_taxonomy_description":"Optometrist","slug":"optometrist","schema_org_specialty":null,"all":[{"code":"152W00000X","description":"Optometrist","primary":true,"state":"SC","license":"1092"}]},"addresses":[{"purpose":"LOCATION","street_1":"363 E. GEORGIA ST","city":"WOODRUFF","state":"SC","postal_code":"29388","country_code":"US","phone":"8644768322","fax":"8644760752"},{"purpose":"MAILING","street_1":"180 N. DEAN STREET","city":"SPARTANBURG","state":"SC","postal_code":"29302","country_code":"US","phone":"8645833125","fax":"8645421367"}],"license":{"state":"SC","number":"1092"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"DA9837","state":"SC","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20120723000728","type_code":"30-41","type_desc":"DME SUPPLIER - PHYSICIAN - OPTOMETRIST","state":"SC","pac_id":"5799683959"}]},"enumeration_date":"2010-05-20","last_updated":"2013-04-11","_meta":{"source":"NPPES","snapshot_date":"2013-04-11","doc_url":"https://findmynpi.com/api"}}