{"npi":"1184172579","type":"NPI-2","status":"active","name":{"display":"Ivory A. Kinslow, Mdpa","other":[],"organization_name":"IVORY A. KINSLOW, MDPA","authorised_official":"Sharon Winn"},"specialty":{"primary_taxonomy":"152W00000X","primary_taxonomy_description":"Optometrist","slug":"optometrist","schema_org_specialty":null,"all":[{"code":"207W00000X","description":"Ophthalmology Physician","primary":false,"state":"AR","license":"C7743"},{"code":"152W00000X","description":"Optometrist","primary":true,"state":"AR","license":"2574"}]},"addresses":[{"purpose":"LOCATION","street_1":"310 THOMPSON AVE","city":"EL DORADO","state":"AR","postal_code":"717304569","country_code":"US","phone":"8708622340","fax":"8708622548"},{"purpose":"MAILING","street_1":"300 THOMPSON AVE","city":"EL DORADO","state":"AR","postal_code":"717304569","country_code":"US","phone":"8708622340","fax":"8708622548"}],"license":{"state":"AR","number":"2574"},"identifiers":[{"type_code":"01","label":"Other","value":"1376986539","state":"AR","issuer":"ORGANIZAN NPI"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2016-09-14","last_updated":"2024-03-05","_meta":{"source":"NPPES","snapshot_date":"2024-03-05","doc_url":"https://findmynpi.com/api"}}