{"npi":"1205199528","type":"NPI-1","status":"active","name":{"display":"Dr. Blair Clark D.O.","other":[{"code":"5","type":"Also known as","value":"YOUNG, BLAIR KATHERINE"}],"first":"BLAIR","last":"CLARK","middle":"YOUNG","credential":"D.O."},"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":"OH","license":"34.012724"}]},"addresses":[{"purpose":"LOCATION","street_1":"60 ASHWOOD DR","city":"TIFFIN","state":"OH","postal_code":"448831908","country_code":"US","phone":"4194488811","fax":"4194487418"},{"purpose":"MAILING","street_1":"60 ASHWOOD DR","city":"TIFFIN","state":"OH","postal_code":"448831908","country_code":"US","phone":"4194488811","fax":"4194487418"}],"license":{"state":"OH","number":"34.012724"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0218698","state":"OH","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20170518002135","type_code":"14-18","type_desc":"PRACTITIONER - OPHTHALMOLOGY","state":"OH","pac_id":"2769759901"}]},"enumeration_date":"2012-06-21","last_updated":"2021-04-06","_meta":{"source":"NPPES","snapshot_date":"2021-04-06","doc_url":"https://findmynpi.com/api"}}