{"npi":"1427748243","type":"NPI-2","status":"active","name":{"display":"Madison Eye Care Of Port Clinton LLC","other":[],"organization_name":"MADISON EYE CARE OF PORT CLINTON LLC","authorised_official":"Kyle Koubek"},"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":"820 JEFFERSON ST","city":"PORT CLINTON","state":"OH","postal_code":"434522416","country_code":"US","phone":"4197322828"},{"purpose":"MAILING","street_1":"26927 DETROIT RD","city":"WESTLAKE","state":"OH","postal_code":"441452370","country_code":"US","phone":"4408925367"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20230908000190","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"OH","pac_id":"3870957921"}]},"enumeration_date":"2023-05-15","last_updated":"2023-05-15","_meta":{"source":"NPPES","snapshot_date":"2023-05-15","doc_url":"https://findmynpi.com/api"}}