{"npi":"1245303825","type":"NPI-2","status":"active","name":{"display":"Cokato Eye Center, Inc.","other":[],"organization_name":"COKATO EYE CENTER, INC.","authorised_official":"Shanda Larsen"},"specialty":{"primary_taxonomy":"152W00000X","primary_taxonomy_description":"Optometrist","slug":"optometrist","schema_org_specialty":null,"all":[{"code":"152W00000X","description":"Optometrist","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"115 OLSEN BLVD","city":"COKATO","state":"MN","postal_code":"55321","country_code":"US","phone":"3202865695","fax":"3202865742"},{"purpose":"MAILING","street_1":"PO BOX 1060","city":"COKATO","state":"MN","postal_code":"55321","country_code":"US","street_2":"115 OLSEN BLVD","phone":"3202865695","fax":"3202865742"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"432724100","state":"MN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20110406000201","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MN","pac_id":"8325169162"}]},"enumeration_date":"2006-11-15","last_updated":"2025-01-23","_meta":{"source":"NPPES","snapshot_date":"2025-01-23","doc_url":"https://findmynpi.com/api"}}