{"npi":"1689728016","type":"NPI-2","status":"active","name":{"display":"Coastal Optical, Incorporated","other":[],"organization_name":"COASTAL OPTICAL, INCORPORATED","authorised_official":"Carol Rateliff"},"specialty":{"primary_taxonomy":"156FX1800X","primary_taxonomy_description":"Optician","slug":"optician","schema_org_specialty":null,"all":[{"code":"156FX1800X","description":"Optician","primary":true,"state":"SC","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"401 79TH AVE N","city":"MYRTLE BEACH","state":"SC","postal_code":"295724310","country_code":"US","phone":"8434496951","fax":"8434972960"},{"purpose":"MAILING","street_1":"401 79TH AVE N","city":"MYRTLE BEACH","state":"SC","postal_code":"295724310","country_code":"US","phone":"8434496951","fax":"8434972960"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"0851690001","state":"SC","issuer":"MC PIN NUMBER"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-01-23","last_updated":"2009-05-04","_meta":{"source":"NPPES","snapshot_date":"2009-05-04","doc_url":"https://findmynpi.com/api"}}