{"npi":"1396718318","type":"NPI-2","status":"active","name":{"display":"Dover Ophthalmology Asc, LLC","other":[],"organization_name":"DOVER OPHTHALMOLOGY ASC, LLC","authorised_official":"Phillip Clendenin"},"specialty":{"primary_taxonomy":"261QA1903X","primary_taxonomy_description":"Ambulatory Surgical Clinic/Center","slug":"ambulatory-surgical-clinic-center","schema_org_specialty":null,"all":[{"code":"261QA1903X","description":"Ambulatory Surgical Clinic/Center","primary":true,"state":"DE","license":"FSSC-005"}]},"addresses":[{"purpose":"LOCATION","street_1":"655 S BAY RD","city":"DOVER","state":"DE","postal_code":"199014615","country_code":"US","street_2":"SUITE 5B","phone":"3026784688","fax":"3026784625"},{"purpose":"MAILING","street_1":"20 BURTON HILLS BLVD.","city":"NASHVILLE","state":"TN","postal_code":"372156176","country_code":"US","street_2":"SUITE 500, ATTN: L&C","phone":"6156651283","fax":"6152341720"}],"license":{"state":"DE","number":"FSSC-005"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"001148628","state":"DE","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-02-09","last_updated":"2023-09-07","_meta":{"source":"NPPES","snapshot_date":"2023-09-07","doc_url":"https://findmynpi.com/api"}}