{"npi":"1649488909","type":"NPI-2","status":"active","name":{"display":"Wybrow Eyecare PC","other":[],"organization_name":"WYBROW EYECARE PC","authorised_official":"Mason Wybrow"},"specialty":{"primary_taxonomy":"152W00000X","primary_taxonomy_description":"Optometrist","slug":"optometrist","schema_org_specialty":null,"all":[{"code":"152W00000X","description":"Optometrist","primary":true,"state":"AZ","license":"1484"}]},"addresses":[{"purpose":"LOCATION","street_1":"3941 E PACKARD AVE","city":"KINGMAN","state":"AZ","postal_code":"864090857","country_code":"US","phone":"9286922570","fax":"9286813545"},{"purpose":"MAILING","street_1":"3941 E PACKARD AVE","city":"KINGMAN","state":"AZ","postal_code":"864090857","country_code":"US","phone":"9286922570","fax":"9286813545"}],"license":{"state":"AZ","number":"1484"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-05-18","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}