{"npi":"1205157609","type":"NPI-2","status":"active","name":{"display":"Advanced Eye Of Nepa LLC","other":[],"organization_name":"ADVANCED EYE OF NEPA LLC","authorised_official":"Sachin Patel"},"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":"PA","license":"MD438121"}]},"addresses":[{"purpose":"LOCATION","street_1":"541 W BACON ST","city":"POTTSVILLE","state":"PA","postal_code":"179013917","country_code":"US","phone":"5705804084","fax":"5705804842"},{"purpose":"MAILING","street_1":"2 CHATHAM HILL CIR","city":"CLARKS SUMMIT","state":"PA","postal_code":"184118795","country_code":"US","phone":"5706043276"}],"license":{"state":"PA","number":"MD438121"},"identifiers":[{"type_code":"01","label":"Other","value":"MD438121","state":"PA","issuer":"PA LICENSE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100927000672","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"PA","pac_id":"3375669484"}]},"enumeration_date":"2010-06-20","last_updated":"2023-10-10","_meta":{"source":"NPPES","snapshot_date":"2023-10-10","doc_url":"https://findmynpi.com/api"}}