{"npi":"1730353160","type":"NPI-2","status":"active","name":{"display":"Gary L. Renier, O.D. Ltd","other":[],"organization_name":"GARY L. RENIER, O.D. LTD","authorised_official":"Gary Renier"},"specialty":{"primary_taxonomy":"152W00000X","primary_taxonomy_description":"Optometrist","slug":"optometrist","schema_org_specialty":null,"all":[{"code":"152W00000X","description":"Optometrist","primary":true,"state":"ND","license":"339"}]},"addresses":[{"purpose":"LOCATION","street_1":"101 10TH ST N","city":"FARGO","state":"ND","postal_code":"581024600","country_code":"US","street_2":"STE 120","phone":"7012399771","fax":"7012930944"},{"purpose":"MAILING","street_1":"101 10TH ST N","city":"FARGO","state":"ND","postal_code":"581024600","country_code":"US","street_2":"STE 120","phone":"7012399771","fax":"7012930944"}],"license":{"state":"ND","number":"339"},"identifiers":[{"type_code":"01","label":"Other","value":"2C934RE","state":"MN","issuer":"BLUE CROSS OF MN"},{"type_code":"01","label":"Other","value":"REN800339","state":"ND","issuer":"ND VISION"},{"type_code":"05","label":"Medicaid","value":"402225400","state":"MN","issuer":null},{"type_code":"01","label":"Other","value":"824258102","state":"ND","issuer":"TRICARE"},{"type_code":"01","label":"Other","value":"2227152","state":"ND","issuer":"MEDICA"},{"type_code":"01","label":"Other","value":"11351","state":"ND","issuer":"BLUE CROSS OF ND"},{"type_code":"05","label":"Medicaid","value":"60443","state":"ND","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2008-04-16","last_updated":"2008-10-30","_meta":{"source":"NPPES","snapshot_date":"2008-10-30","doc_url":"https://findmynpi.com/api"}}