{"npi":"1659340925","type":"NPI-1","status":"active","name":{"display":"Stephanie Klemencic O.D.","other":[],"first":"STEPHANIE","last":"KLEMENCIC","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":"IL","license":"046-009932"},{"code":"152W00000X","description":"Optometrist","primary":true,"state":"OH","license":"005607"}]},"addresses":[{"purpose":"LOCATION","street_1":"744 E 3RD ST","city":"BLOOMINGTON","state":"IN","postal_code":"474053603","country_code":"US","phone":"8128558436","fax":"8128551683"},{"purpose":"MAILING","street_1":"744 E 3RD ST","city":"BLOOMINGTON","state":"IN","postal_code":"474053603","country_code":"US","phone":"8128558436","fax":"8128551683"}],"license":{"state":"OH","number":"005607"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"046009932","state":"IL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20050725001125","type_code":"14-41","type_desc":"PRACTITIONER - OPTOMETRY","state":"IN","pac_id":"3577590199"},{"enrlmt_id":"I20060922000124","type_code":"14-41","type_desc":"PRACTITIONER - OPTOMETRY","state":"OH","pac_id":"3577590199"}]},"enumeration_date":"2006-03-17","last_updated":"2026-01-12","_meta":{"source":"NPPES","snapshot_date":"2026-01-12","doc_url":"https://findmynpi.com/api"}}