{"npi":"1710969480","type":"NPI-1","status":"active","name":{"display":"Charles Radebaugh O.D.","other":[],"first":"CHARLES","last":"RADEBAUGH","middle":"DUANE","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":"OR","license":"1193T"},{"code":"152W00000X","description":"Optometrist","primary":false,"state":"WA","license":"3463"}]},"addresses":[{"purpose":"LOCATION","street_1":"1800 CENTENNIAL BLVD","city":"SPRINGFIELD","state":"OR","postal_code":"974774385","country_code":"US","street_2":"SUITE 2","phone":"5417265055"},{"purpose":"MAILING","street_1":"1800 CENTENNIAL BLVD","city":"SPRINGFIELD","state":"OR","postal_code":"974774385","country_code":"US","street_2":"SUITE 2","phone":"5417265055"}],"license":{"state":"OR","number":"1193T"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"167197","state":"OR","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-11-17","last_updated":"2007-07-08","_meta":{"source":"NPPES","snapshot_date":"2007-07-08","doc_url":"https://findmynpi.com/api"}}