{"npi":"1740464296","type":"NPI-2","status":"active","name":{"display":"Buena Vista Optical, P.C.","other":[],"organization_name":"BUENA VISTA OPTICAL, P.C.","authorised_official":"Todd Sims"},"specialty":{"primary_taxonomy":"261Q00000X","primary_taxonomy_description":"Clinic/Center","slug":"clinic-center","schema_org_specialty":null,"all":[{"code":"332H00000X","description":"Eyewear Supplier","primary":false,"state":"IL","license":"046-009243"},{"code":"261Q00000X","description":"Clinic/Center","primary":true,"state":"IL","license":"046-009243"}]},"addresses":[{"purpose":"LOCATION","street_1":"6455 S KEDZIE AVE","city":"CHICAGO","state":"IL","postal_code":"606292829","country_code":"US","phone":"7738639234","fax":"7738639274"},{"purpose":"MAILING","street_1":"6455 S KEDZIE AVE","city":"CHICAGO","state":"IL","postal_code":"606292829","country_code":"US","phone":"7738639234","fax":"7738639274"}],"license":{"state":"IL","number":"046-009243"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20131004000282","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"IL","pac_id":"1951535913"}]},"enumeration_date":"2007-12-19","last_updated":"2013-09-11","_meta":{"source":"NPPES","snapshot_date":"2013-09-11","doc_url":"https://findmynpi.com/api"}}