{"npi":"1356697064","type":"NPI-2","status":"active","name":{"display":"Mobile Vision Doctors LLC","other":[],"organization_name":"MOBILE VISION DOCTORS LLC","authorised_official":"Ryan Verxagio"},"specialty":{"primary_taxonomy":"152WL0500X","primary_taxonomy_description":"Low Vision Rehabilitation Optometrist","slug":"low-vision-rehabilitation-optometrist","schema_org_specialty":null,"all":[{"code":"152WL0500X","description":"Low Vision Rehabilitation Optometrist","primary":true,"state":"FL","license":"OPC3957"}]},"addresses":[{"purpose":"LOCATION","street_1":"1315 SILK OAK DR","city":"HOLLYWOOD","state":"FL","postal_code":"330211367","country_code":"US","phone":"3054392015","fax":"3055039250"},{"purpose":"MAILING","street_1":"1315 SILK OAK DR","city":"HOLLYWOOD","state":"FL","postal_code":"330211367","country_code":"US","phone":"3054392015","fax":"3055039250"}],"license":{"state":"FL","number":"OPC3957"},"identifiers":[{"type_code":"01","label":"Other","value":"1194014845","state":"FL","issuer":"NPI OF ONE OF THE PROVIDERS OF THE GROUP"},{"type_code":"01","label":"Other","value":"1851648026","state":"FL","issuer":"NPI OF THE SAME BUSINESS BUT IN ANOTHER COUNTY (DADE)"},{"type_code":"05","label":"Medicaid","value":"024018600","state":"FL","issuer":null},{"type_code":"01","label":"Other","value":"1124642269","state":"FL","issuer":"NPI OF ONE OF THE PROVIDERS OF THE GROUP"},{"type_code":"01","label":"Other","value":"1528342631","state":"FL","issuer":"NPI OF ONE OF THE PROVIDERS OF THE GROUP"},{"type_code":"01","label":"Other","value":"1669432969","state":"FL","issuer":"NPI OF ONE OF THE PROVIDERS OF THE GROUP"},{"type_code":"01","label":"Other","value":"1700520608","state":"FL","issuer":"NPI OF ONE OF THE PROVIDERS OF THE GROUP"},{"type_code":"01","label":"Other","value":"1851648026","state":"FL","issuer":"NPI (SAME COMPANY, DIFFERENT COUNTY) DADE, FLORIDA"},{"type_code":"01","label":"Other","value":"1831682178","state":"FL","issuer":"NPI OF ONE OF THE PROVIDERS OF THE GROUP"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20120925000327","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"FL","pac_id":"4385893973"}]},"enumeration_date":"2012-07-31","last_updated":"2023-02-26","_meta":{"source":"NPPES","snapshot_date":"2023-02-26","doc_url":"https://findmynpi.com/api"}}