{"npi":"1750384541","type":"NPI-1","status":"active","name":{"display":"Dr. Mohammad Rafieetary O.D.","other":[],"first":"MOHAMMAD","last":"RAFIEETARY","middle":"REZA","credential":"O.D."},"specialty":{"primary_taxonomy":"174400000X","primary_taxonomy_description":"Specialist","slug":"specialist","schema_org_specialty":null,"all":[{"code":"174400000X","description":"Specialist","primary":true,"state":"TN","license":"OD1200"}]},"addresses":[{"purpose":"LOCATION","street_1":"1432 KIMBROUGH RD","city":"GERMANTOWN","state":"TN","postal_code":"381382405","country_code":"US","phone":"9017674499","fax":"9017610727"},{"purpose":"MAILING","street_1":"1432 KIMBROUGH RD","city":"GERMANTOWN","state":"TN","postal_code":"381382405","country_code":"US","phone":"9017674499","fax":"9017610727"}],"license":{"state":"TN","number":"OD1200"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0169638","state":"TN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20050606000327","type_code":"14-41","type_desc":"PRACTITIONER - OPTOMETRY","state":"MS","pac_id":"9335182955"},{"enrlmt_id":"I20111118000051","type_code":"14-41","type_desc":"PRACTITIONER - OPTOMETRY","state":"TN","pac_id":"9335182955"},{"enrlmt_id":"I20190507002564","type_code":"14-41","type_desc":"PRACTITIONER - OPTOMETRY","state":"AR","pac_id":"9335182955"}]},"enumeration_date":"2005-05-24","last_updated":"2025-01-23","_meta":{"source":"NPPES","snapshot_date":"2025-01-23","doc_url":"https://findmynpi.com/api"}}