{"npi":"1497760854","type":"NPI-2","status":"active","name":{"display":"Tri Lakes Medical And Surgical Eye Clinic, Inc.","other":[],"organization_name":"TRI LAKES MEDICAL AND SURGICAL EYE CLINIC, INC.","authorised_official":"Tracy Ford"},"specialty":{"primary_taxonomy":"207W00000X","primary_taxonomy_description":"Ophthalmology Physician","slug":"ophthalmology-physician","schema_org_specialty":null,"all":[{"code":"152W00000X","description":"Optometrist","primary":false,"state":null,"license":null},{"code":"152WC0802X","description":"Corneal and Contact Management Optometrist","primary":false,"state":null,"license":null},{"code":"152WP0200X","description":"Pediatric Optometrist","primary":false,"state":null,"license":null},{"code":"207W00000X","description":"Ophthalmology Physician","primary":true,"state":"MO","license":"R6C05"}]},"addresses":[{"purpose":"LOCATION","street_1":"915 STATE HIGHWAY 248","city":"BRANSON","state":"MO","postal_code":"656168003","country_code":"US","street_2":"SUITE A","phone":"4173340044","fax":"4173340046"},{"purpose":"MAILING","street_1":"915 STATE HIGHWAY 248","city":"BRANSON","state":"MO","postal_code":"656168003","country_code":"US","street_2":"SUITE A","phone":"4173340044","fax":"4173340046"}],"license":{"state":"MO","number":"R6C05"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"325133601","state":"MO","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-07-31","last_updated":"2013-12-03","_meta":{"source":"NPPES","snapshot_date":"2013-12-03","doc_url":"https://findmynpi.com/api"}}