{"npi":"1265433478","type":"NPI-1","status":"active","name":{"display":"Dr. Gary Upchurch OD","other":[],"first":"GARY","last":"UPCHURCH","middle":"WALTER","credential":"OD"},"specialty":{"primary_taxonomy":"152W00000X","primary_taxonomy_description":"Optometrist","slug":"optometrist","schema_org_specialty":null,"all":[{"code":"152W00000X","description":"Optometrist","primary":false,"state":"TN","license":"OD2197"},{"code":"152W00000X","description":"Optometrist","primary":true,"state":"KY","license":"929DT"}]},"addresses":[{"purpose":"LOCATION","street_1":"127 FOOTHILLS AVE STE 3","city":"ALBANY","state":"KY","postal_code":"426021037","country_code":"US","phone":"6063875612","fax":"6063876602"},{"purpose":"MAILING","street_1":"PO BOX 306","city":"FERGUSON","state":"KY","postal_code":"425330306","country_code":"US","phone":"6064922211","fax":"6066760873"}],"license":{"state":"KY","number":"929DT"},"identifiers":[{"type_code":"01","label":"Other","value":"01047034","state":null,"issuer":"AMERIGROUP"},{"type_code":"05","label":"Medicaid","value":"4599126","state":"TN","issuer":null},{"type_code":"01","label":"Other","value":"4627","state":"KY","issuer":"AVESIS/MEDICAID"},{"type_code":"01","label":"Other","value":"3068022","state":null,"issuer":"BCBSTN/BLUECARE/TENNCARE"},{"type_code":"05","label":"Medicaid","value":"7100209970","state":"KY","issuer":null},{"type_code":"05","label":"Medicaid","value":"77009298","state":"KY","issuer":null},{"type_code":"01","label":"Other","value":"410003588","state":"KY","issuer":"RAILROAD MEDICARE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20100616000163","type_code":"14-41","type_desc":"PRACTITIONER - OPTOMETRY","state":"KY","pac_id":"0345346847"},{"enrlmt_id":"I20211203001349","type_code":"14-41","type_desc":"PRACTITIONER - OPTOMETRY","state":"TN","pac_id":"0345346847"}]},"enumeration_date":"2005-08-10","last_updated":"2019-12-03","_meta":{"source":"NPPES","snapshot_date":"2019-12-03","doc_url":"https://findmynpi.com/api"}}