{"npi":"1760611362","type":"NPI-1","status":"active","name":{"display":"Tiffany Kwon O.D.","other":[{"code":"1","type":"Formerly known as","value":"LAU, TIFFANY ANGIE"}],"first":"TIFFANY","last":"KWON","middle":"ANGIE","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":"NY","license":"TUV007421-1"},{"code":"152W00000X","description":"Optometrist","primary":false,"state":"VA","license":"0618002533"}]},"addresses":[{"purpose":"LOCATION","street_1":"2014 CALVARY CIR APT 201","city":"CHARLOTTESVILLE","state":"VA","postal_code":"229118469","country_code":"US","phone":"9095699290"},{"purpose":"MAILING","street_1":"2014 CALVARY CIR APT 201","city":"CHARLOTTESVILLE","state":"VA","postal_code":"229118469","country_code":"US","phone":"9095699290"}],"license":{"state":"NY","number":"TUV007421-1"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"03179962","state":"NY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20170327001040","type_code":"14-41","type_desc":"PRACTITIONER - OPTOMETRY","state":"VA","pac_id":"1456482280"}]},"enumeration_date":"2009-07-06","last_updated":"2017-01-17","_meta":{"source":"NPPES","snapshot_date":"2017-01-17","doc_url":"https://findmynpi.com/api"}}