{"npi":"1144281544","type":"NPI-1","status":"active","name":{"display":"Charles Avera M.D.","other":[],"first":"CHARLES","last":"AVERA","middle":"BLAKE","credential":"M.D."},"specialty":{"primary_taxonomy":"207W00000X","primary_taxonomy_description":"Ophthalmology Physician","slug":"ophthalmology-physician","schema_org_specialty":null,"all":[{"code":"207W00000X","description":"Ophthalmology Physician","primary":true,"state":"TX","license":"H224"}]},"addresses":[{"purpose":"LOCATION","street_1":"1704 11TH ST","city":"WICHITA FALLS","state":"TX","postal_code":"763015020","country_code":"US","phone":"9407231274","fax":"9407231525"},{"purpose":"MAILING","street_1":"1704 11TH ST","city":"WICHITA FALLS","state":"TX","postal_code":"763015020","country_code":"US","phone":"9407231274","fax":"9407231525"}],"license":{"state":"TX","number":"H224"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"137823407","state":"TX","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20110121000414","type_code":"14-18","type_desc":"PRACTITIONER - OPHTHALMOLOGY","state":"TX","pac_id":"8224217344"}]},"enumeration_date":"2006-03-28","last_updated":"2013-12-10","_meta":{"source":"NPPES","snapshot_date":"2013-12-10","doc_url":"https://findmynpi.com/api"}}