{"npi":"1619150976","type":"NPI-2","status":"active","name":{"display":"Dr Patricia A. Haller Optometrist INC","other":[],"organization_name":"DR PATRICIA A. HALLER OPTOMETRIST INC","authorised_official":"Patricia Haller"},"specialty":{"primary_taxonomy":"152W00000X","primary_taxonomy_description":"Optometrist","slug":"optometrist","schema_org_specialty":null,"all":[{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":false,"state":"OH","license":"4841"},{"code":"152W00000X","description":"Optometrist","primary":true,"state":"OH","license":"4841"}]},"addresses":[{"purpose":"LOCATION","street_1":"59 W MAIN ST","city":"CHILLICOTHE","state":"OH","postal_code":"456013104","country_code":"US","phone":"7407744616","fax":"7407793856"},{"purpose":"MAILING","street_1":"PO BOX 95","city":"CHILLICOTHE","state":"OH","postal_code":"456010095","country_code":"US","phone":"7407744616","fax":"7407793856"}],"license":{"state":"OH","number":"4841"},"identifiers":[{"type_code":"01","label":"Other","value":"0005791631","state":"OH","issuer":"AETNA MEDICARE"},{"type_code":"01","label":"Other","value":"22-01034","state":null,"issuer":"UNITED HEALTHCARE"},{"type_code":"05","label":"Medicaid","value":"2013921","state":"OH","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20080108000775","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"OH","pac_id":"0840370409"}]},"enumeration_date":"2007-12-10","last_updated":"2018-06-21","_meta":{"source":"NPPES","snapshot_date":"2018-06-21","doc_url":"https://findmynpi.com/api"}}