{"npi":"1366489189","type":"NPI-2","status":"active","name":{"display":"Clarkson Optometry Midwest Inc.","other":[],"organization_name":"CLARKSON OPTOMETRY MIDWEST INC.","authorised_official":"James Wachter"},"specialty":{"primary_taxonomy":"152W00000X","primary_taxonomy_description":"Optometrist","slug":"optometrist","schema_org_specialty":null,"all":[{"code":"152W00000X","description":"Optometrist","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"544 CONESTOGA PARKWAY","city":"SHEPHERDSVILLE","state":"KY","postal_code":"401656081","country_code":"US","street_2":"SUITE 17","phone":"6362004393","fax":"5027364490"},{"purpose":"MAILING","street_1":"PO BOX 207170","city":"DALLAS","state":"TX","postal_code":"753207156","country_code":"US","phone":"6362004393","fax":"6365270766"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"77903953","state":"KY","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-06-01","last_updated":"2019-06-07","_meta":{"source":"NPPES","snapshot_date":"2019-06-07","doc_url":"https://findmynpi.com/api"}}