{"npi":"1346406337","type":"NPI-2","status":"active","name":{"display":"Leon Optometric Clinic PC","other":[],"organization_name":"LEON OPTOMETRIC CLINIC PC","authorised_official":"Steve Leon"},"specialty":{"primary_taxonomy":"152W00000X","primary_taxonomy_description":"Optometrist","slug":"optometrist","schema_org_specialty":null,"all":[{"code":"152W00000X","description":"Optometrist","primary":true,"state":"IL","license":"046007325"}]},"addresses":[{"purpose":"LOCATION","street_1":"10 W ADAMS AVE # 200","city":"VILLA GROVE","state":"IL","postal_code":"619561513","country_code":"US","phone":"2178322111","fax":"2178329935"},{"purpose":"MAILING","street_1":"10 W ADAMS AVE","city":"VILLA GROVE","state":"IL","postal_code":"619561513","country_code":"US","phone":"2178322111","fax":"2178329935"}],"license":{"state":"IL","number":"046007325"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"6195601","state":"IL","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2008-07-30","last_updated":"2008-07-30","_meta":{"source":"NPPES","snapshot_date":"2008-07-30","doc_url":"https://findmynpi.com/api"}}