{"npi":"1629072533","type":"NPI-1","status":"active","name":{"display":"Dr. Lisa Keltner O.D.","other":[],"first":"LISA","last":"KELTNER","middle":"VALENTINE","credential":"O.D."},"specialty":{"primary_taxonomy":"152W00000X","primary_taxonomy_description":"Optometrist","slug":"optometrist","schema_org_specialty":null,"all":[{"code":"152W00000X","description":"Optometrist","primary":false,"state":"AZ","license":"721"},{"code":"152W00000X","description":"Optometrist","primary":false,"state":"UT","license":"113376-9934"},{"code":"152WL0500X","description":"Low Vision Rehabilitation Optometrist","primary":false,"state":"CA","license":"08887TLG"},{"code":"152W00000X","description":"Optometrist","primary":true,"state":"CA","license":"08887TLG"}]},"addresses":[{"purpose":"LOCATION","street_1":"4515 CENTRAL AVE STE 101","city":"RIVERSIDE","state":"CA","postal_code":"925062374","country_code":"US","phone":"9517842420","fax":"9517844713"},{"purpose":"MAILING","street_1":"4515 CENTRAL AVE STE 101","city":"RIVERSIDE","state":"CA","postal_code":"925062374","country_code":"US","phone":"9517842420","fax":"9517844713"}],"license":{"state":"CA","number":"08887TLG"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"SD0088870","state":"CA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-06-08","last_updated":"2023-03-07","_meta":{"source":"NPPES","snapshot_date":"2023-03-07","doc_url":"https://findmynpi.com/api"}}