{"npi":"1205868064","type":"NPI-2","status":"active","name":{"display":"Walters Optometric Center, P. C.","other":[],"organization_name":"WALTERS OPTOMETRIC CENTER, P. C.","authorised_official":"Rick Walters"},"specialty":{"primary_taxonomy":"152W00000X","primary_taxonomy_description":"Optometrist","slug":"optometrist","schema_org_specialty":null,"all":[{"code":"152W00000X","description":"Optometrist","primary":true,"state":"PA","license":"0EG000143"}]},"addresses":[{"purpose":"LOCATION","street_1":"538 DELAWARE AVE","city":"PALMERTON","state":"PA","postal_code":"180711911","country_code":"US","phone":"6108262222"},{"purpose":"MAILING","street_1":"538 DELAWARE AVE","city":"PALMERTON","state":"PA","postal_code":"180711911","country_code":"US","phone":"6108262222"}],"license":{"state":"PA","number":"0EG000143"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0070317700002","state":"PA","issuer":null},{"type_code":"01","label":"Other","value":"0535676","state":"PA","issuer":"AETNA"},{"type_code":"01","label":"Other","value":"40976","state":"PA","issuer":"DAVIS VISION"},{"type_code":"01","label":"Other","value":"396830","state":"PA","issuer":"NATIONAL VISION ADMINISTR"},{"type_code":"01","label":"Other","value":"PA07241","state":"PA","issuer":"VISION BENEFITS OF AMERIC"},{"type_code":"01","label":"Other","value":"080827","state":"PA","issuer":"FIRST PRIORITY HEALTH"},{"type_code":"01","label":"Other","value":"6108262222","state":"PA","issuer":"VISION SERVICE PLAN"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-07-06","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}