{"npi":"1205931995","type":"NPI-2","status":"active","name":{"display":"Ellenbecker Eye Clinic, PLLC","other":[],"organization_name":"ELLENBECKER EYE CLINIC, PLLC","authorised_official":"Wayne Ellenbecker"},"specialty":{"primary_taxonomy":"152W00000X","primary_taxonomy_description":"Optometrist","slug":"optometrist","schema_org_specialty":null,"all":[{"code":"152W00000X","description":"Optometrist","primary":true,"state":"ID","license":"800"}]},"addresses":[{"purpose":"LOCATION","street_1":"1250 W IRONWOOD DR","city":"COEUR D ALENE","state":"ID","postal_code":"838142681","country_code":"US","street_2":"SUITE 201","phone":"2086672255","fax":"2087655889"},{"purpose":"MAILING","street_1":"1250 W IRONWOOD DR","city":"COEUR D ALENE","state":"ID","postal_code":"838142681","country_code":"US","street_2":"SUITE 201","phone":"2086672255","fax":"2087655889"}],"license":{"state":"ID","number":"800"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20061011000417","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"ID","pac_id":"4587660782"}]},"enumeration_date":"2006-09-14","last_updated":"2008-09-05","_meta":{"source":"NPPES","snapshot_date":"2008-09-05","doc_url":"https://findmynpi.com/api"}}