{"npi":"1649290941","type":"NPI-1","status":"active","name":{"display":"Corinne Wicklund OD","other":[{"code":"1","type":"Formerly known as","value":"BEIERSDORF, CORINNE"}],"first":"CORINNE","last":"WICKLUND","middle":"BEIERSDORF","credential":"OD"},"specialty":{"primary_taxonomy":"152W00000X","primary_taxonomy_description":"Optometrist","slug":"optometrist","schema_org_specialty":null,"all":[{"code":"152W00000X","description":"Optometrist","primary":true,"state":"WI","license":"3046-035"},{"code":"152WL0500X","description":"Low Vision Rehabilitation Optometrist","primary":false,"state":"WI","license":"3046-035"}]},"addresses":[{"purpose":"LOCATION","street_1":"100 CARR RD","city":"PLYMOUTH","state":"WI","postal_code":"530739500","country_code":"US","phone":"9208923937","fax":"9208926668"},{"purpose":"MAILING","street_1":"PO BOX 600","city":"PLYMOUTH","state":"WI","postal_code":"530730600","country_code":"US","phone":"9208933937","fax":"9208926668"}],"license":{"state":"WI","number":"3046-035"},"identifiers":[{"type_code":"01","label":"Other","value":"3046-035","state":"WI","issuer":"STATE LICENSE NUMBER"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20061030000222","type_code":"14-41","type_desc":"PRACTITIONER - OPTOMETRY","state":"WI","pac_id":"7012914385"}]},"enumeration_date":"2006-07-20","last_updated":"2025-09-25","_meta":{"source":"NPPES","snapshot_date":"2025-09-25","doc_url":"https://findmynpi.com/api"}}