{"npi":"1477753226","type":"NPI-2","status":"active","name":{"display":"Eyedentity, Inc.","other":[],"organization_name":"EYEDENTITY, INC.","authorised_official":"Kerry Atkins"},"specialty":{"primary_taxonomy":"152W00000X","primary_taxonomy_description":"Optometrist","slug":"optometrist","schema_org_specialty":null,"all":[{"code":"152W00000X","description":"Optometrist","primary":true,"state":"WA","license":"1750"}]},"addresses":[{"purpose":"LOCATION","street_1":"941 6TH ST S","city":"KIRKLAND","state":"WA","postal_code":"980336712","country_code":"US","phone":"4258227685","fax":"4258891664"},{"purpose":"MAILING","street_1":"941 6TH ST S","city":"KIRKLAND","state":"WA","postal_code":"980336712","country_code":"US","phone":"4258227685","fax":"4258891664"}],"license":{"state":"WA","number":"1750"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"2019784","state":"WA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100728000591","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"WA","pac_id":"1456484492"}]},"enumeration_date":"2007-07-20","last_updated":"2008-06-19","_meta":{"source":"NPPES","snapshot_date":"2008-06-19","doc_url":"https://findmynpi.com/api"}}