{"npi":"1669450151","type":"NPI-1","status":"active","name":{"display":"Dr. Robert Elliott O.D.","other":[],"first":"ROBERT","last":"ELLIOTT","middle":"E.","credential":"O.D."},"specialty":{"primary_taxonomy":"152W00000X","primary_taxonomy_description":"Optometrist","slug":"optometrist","schema_org_specialty":null,"all":[{"code":"152W00000X","description":"Optometrist","primary":true,"state":"WI","license":"2658"}]},"addresses":[{"purpose":"LOCATION","street_1":"2722 OLD MILL DR","city":"RACINE","state":"WI","postal_code":"534051320","country_code":"US","phone":"2626322020","fax":"2626327085"},{"purpose":"MAILING","street_1":"2722 OLD MILL DR","city":"RACINE","state":"WI","postal_code":"534051320","country_code":"US","phone":"2626322020","fax":"2626327085"}],"license":{"state":"WI","number":"2658"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"38620900","state":"WI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040521000432","type_code":"14-41","type_desc":"PRACTITIONER - OPTOMETRY","state":"WI","pac_id":"9830180470"}]},"enumeration_date":"2006-01-04","last_updated":"2022-07-21","_meta":{"source":"NPPES","snapshot_date":"2022-07-21","doc_url":"https://findmynpi.com/api"}}