{"npi":"1659401180","type":"NPI-2","status":"active","name":{"display":"Dr Patrick Henry OD LLC","other":[],"organization_name":"DR PATRICK HENRY OD LLC","authorised_official":"Hope Wcislak"},"specialty":{"primary_taxonomy":"152WV0400X","primary_taxonomy_description":"Vision Therapy Optometrist","slug":"vision-therapy-optometrist","schema_org_specialty":null,"all":[{"code":"152WV0400X","description":"Vision Therapy Optometrist","primary":true,"state":"OH","license":"5163 T2062"}]},"addresses":[{"purpose":"LOCATION","street_1":"109 WEST WAYNE ST","city":"MAUMEE","state":"OH","postal_code":"435372150","country_code":"US","phone":"4198936841","fax":"4198934894"},{"purpose":"MAILING","street_1":"109 WEST WAYNE ST","city":"MAUMEE","state":"OH","postal_code":"435372150","country_code":"US","phone":"4198936841","fax":"4198934894"}],"license":{"state":"OH","number":"5163 T2062"},"identifiers":[{"type_code":"01","label":"Other","value":"5163 T2062","state":"OH","issuer":"STATE LICENSE NUMBER"},{"type_code":"05","label":"Medicaid","value":"2196672","state":"OH","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-03-06","last_updated":"2008-07-01","_meta":{"source":"NPPES","snapshot_date":"2008-07-01","doc_url":"https://findmynpi.com/api"}}