{"npi":"1760471908","type":"NPI-1","status":"active","name":{"display":"Dr. Douglas Watson OD","other":[],"first":"DOUGLAS","last":"WATSON","middle":"R","credential":"OD"},"specialty":{"primary_taxonomy":"152W00000X","primary_taxonomy_description":"Optometrist","slug":"optometrist","schema_org_specialty":null,"all":[{"code":"152W00000X","description":"Optometrist","primary":true,"state":"IL","license":"046007842"}]},"addresses":[{"purpose":"LOCATION","street_1":"301 W MADISON ST","city":"PONTIAC","state":"IL","postal_code":"617641705","country_code":"US","phone":"8158442015","fax":"8158444918"},{"purpose":"MAILING","street_1":"301 W MADISON ST","city":"PONTIAC","state":"IL","postal_code":"617641705","country_code":"US","phone":"8158442015","fax":"8158444918"}],"license":{"state":"IL","number":"046007842"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"046007842","state":"IL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20110118000781","type_code":"14-41","type_desc":"PRACTITIONER - OPTOMETRY","state":"IL","pac_id":"7517072101"}]},"enumeration_date":"2005-10-20","last_updated":"2009-10-20","_meta":{"source":"NPPES","snapshot_date":"2009-10-20","doc_url":"https://findmynpi.com/api"}}