{"npi":"1457583239","type":"NPI-1","status":"active","name":{"display":"Dr. Lisa Martin O.D.","other":[],"first":"LISA","last":"MARTIN","middle":"WOOTEN","credential":"O.D."},"specialty":{"primary_taxonomy":"152W00000X","primary_taxonomy_description":"Optometrist","slug":"optometrist","schema_org_specialty":null,"all":[{"code":"152W00000X","description":"Optometrist","primary":true,"state":"GA","license":"OPT002548"}]},"addresses":[{"purpose":"LOCATION","street_1":"603 WHEAT AVE","city":"BAINBRIDGE","state":"GA","postal_code":"398194360","country_code":"US","street_2":"SUITE 650","phone":"2292438597","fax":"2292431506"},{"purpose":"MAILING","street_1":"603 WHEAT AVE","city":"BAINBRIDGE","state":"GA","postal_code":"398194360","country_code":"US","street_2":"SUITE 650","phone":"2292438597","fax":"2292431506"}],"license":{"state":"GA","number":"OPT002548"},"identifiers":[{"type_code":"01","label":"Other","value":"OPT002548","state":"GA","issuer":"MEDICAL LICENSE"},{"type_code":"05","label":"Medicaid","value":"003104546A","state":"GA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20101202000323","type_code":"14-41","type_desc":"PRACTITIONER - OPTOMETRY","state":"GA","pac_id":"7416143466"}]},"enumeration_date":"2009-08-12","last_updated":"2017-09-13","_meta":{"source":"NPPES","snapshot_date":"2017-09-13","doc_url":"https://findmynpi.com/api"}}