{"npi":"1619185485","type":"NPI-2","status":"active","name":{"display":"Ada County Eyecare, P.C.","other":[],"organization_name":"ADA COUNTY EYECARE, P.C.","authorised_official":"Steven Polatis"},"specialty":{"primary_taxonomy":"152WC0802X","primary_taxonomy_description":"Corneal and Contact Management Optometrist","slug":"corneal-and-contact-management-optometrist","schema_org_specialty":null,"all":[{"code":"152WC0802X","description":"Corneal and Contact Management Optometrist","primary":true,"state":"ID","license":"ODP-900"}]},"addresses":[{"purpose":"LOCATION","street_1":"2069 E FELDSPAR CT","city":"BOISE","state":"ID","postal_code":"837128456","country_code":"US","phone":"2088691965","fax":"2083451137"},{"purpose":"MAILING","street_1":"2069 E FELDSPAR CT","city":"BOISE","state":"ID","postal_code":"837128456","country_code":"US","phone":"2088691965","fax":"2083451137"}],"license":{"state":"ID","number":"ODP-900"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"804046000","state":"ID","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-05-18","last_updated":"2023-03-07","_meta":{"source":"NPPES","snapshot_date":"2023-03-07","doc_url":"https://findmynpi.com/api"}}