{"npi":"1285824417","type":"NPI-2","status":"active","name":{"display":"Abc Optometric PC","other":[],"organization_name":"ABC OPTOMETRIC PC","authorised_official":"Michael Hester"},"specialty":{"primary_taxonomy":"152W00000X","primary_taxonomy_description":"Optometrist","slug":"optometrist","schema_org_specialty":null,"all":[{"code":"152W00000X","description":"Optometrist","primary":false,"state":"OR","license":"2784ATI"},{"code":"152W00000X","description":"Optometrist","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"2991 SE 75TH AVE","city":"HILLSBORO","state":"OR","postal_code":"971236210","country_code":"US","phone":"5036497566","fax":"5036490123"},{"purpose":"MAILING","street_1":"2991 SE 75TH AVE","city":"HILLSBORO","state":"OR","postal_code":"971236210","country_code":"US","phone":"5036497566","fax":"5036490123"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"226366","state":"OR","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20070908000196","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"OR","pac_id":"0446343321"}]},"enumeration_date":"2007-07-25","last_updated":"2020-11-05","_meta":{"source":"NPPES","snapshot_date":"2020-11-05","doc_url":"https://findmynpi.com/api"}}