{"npi":"1336718378","type":"NPI-1","status":"active","name":{"display":"Trevor Peden OD","other":[],"first":"TREVOR","last":"PEDEN","credential":"OD"},"specialty":{"primary_taxonomy":"152W00000X","primary_taxonomy_description":"Optometrist","slug":"optometrist","schema_org_specialty":null,"all":[{"code":"152W00000X","description":"Optometrist","primary":true,"state":"KY","license":"2246DT"}]},"addresses":[{"purpose":"LOCATION","street_1":"503 N MAIN ST","city":"LONDON","state":"KY","postal_code":"407411217","country_code":"US","phone":"6068771877","fax":"6068770082"},{"purpose":"MAILING","street_1":"503 N MAIN ST","city":"LONDON","state":"KY","postal_code":"407411217","country_code":"US","phone":"6068771877","fax":"6068770082"}],"license":{"state":"KY","number":"2246DT"},"identifiers":[{"type_code":"01","label":"Other","value":"2246DT","state":"KY","issuer":"KENTUCKY OPTOMETRY LICENSE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20210701003837","type_code":"14-41","type_desc":"PRACTITIONER - OPTOMETRY","state":"KY","pac_id":"9739580341"}]},"enumeration_date":"2021-06-23","last_updated":"2021-06-23","_meta":{"source":"NPPES","snapshot_date":"2021-06-23","doc_url":"https://findmynpi.com/api"}}