{"npi":"1306109087","type":"NPI-1","status":"active","name":{"display":"Abbey Bonnell OD","other":[{"code":"1","type":"Formerly known as","value":"JOHNSON, ABBEY R"}],"first":"ABBEY","last":"BONNELL","middle":"J","credential":"OD"},"specialty":{"primary_taxonomy":"152W00000X","primary_taxonomy_description":"Optometrist","slug":"optometrist","schema_org_specialty":null,"all":[{"code":"152W00000X","description":"Optometrist","primary":true,"state":"PA","license":"OEG002621"}]},"addresses":[{"purpose":"LOCATION","street_1":"205 PARK PL","city":"BELLEFONTE","state":"PA","postal_code":"168232557","country_code":"US","phone":"8669953937"},{"purpose":"MAILING","street_1":"88 HARDEES DR","city":"MIFFLINBURG","state":"PA","postal_code":"178447062","country_code":"US","phone":"5709665582","fax":"5709665586"}],"license":{"state":"PA","number":"OEG002621"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"102768606-0003","state":"PA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20120720000239","type_code":"14-41","type_desc":"PRACTITIONER - OPTOMETRY","state":"PA","pac_id":"4587820451"}]},"enumeration_date":"2012-06-19","last_updated":"2021-01-12","_meta":{"source":"NPPES","snapshot_date":"2021-01-12","doc_url":"https://findmynpi.com/api"}}