{"npi":"1477635936","type":"NPI-2","status":"active","name":{"display":"Daniel Poth, O.D. And Associates, P.C.","other":[],"organization_name":"DANIEL POTH, O.D. AND ASSOCIATES, P.C.","authorised_official":"Dan Poth"},"specialty":{"primary_taxonomy":"332H00000X","primary_taxonomy_description":"Eyewear Supplier","slug":"eyewear-supplier","schema_org_specialty":null,"all":[{"code":"332H00000X","description":"Eyewear Supplier","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"11130L S LAKES DR","city":"RESTON","state":"VA","postal_code":"201914327","country_code":"US","phone":"7034760077","fax":"7034764137"},{"purpose":"MAILING","street_1":"PO BOX 842375","city":"DALLAS","state":"TX","postal_code":"752842375","country_code":"US","phone":"2105246663","fax":"2105246587"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"9280537","state":"VA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-10-20","last_updated":"2013-08-09","_meta":{"source":"NPPES","snapshot_date":"2013-08-09","doc_url":"https://findmynpi.com/api"}}