{"npi":"1770533515","type":"NPI-1","status":"active","name":{"display":"Dr. Debra Koloms MD","other":[],"first":"DEBRA","last":"KOLOMS","middle":"ANNE","credential":"MD"},"specialty":{"primary_taxonomy":"207W00000X","primary_taxonomy_description":"Ophthalmology Physician","slug":"ophthalmology-physician","schema_org_specialty":null,"all":[{"code":"207W00000X","description":"Ophthalmology Physician","primary":true,"state":"NY","license":"206048"}]},"addresses":[{"purpose":"LOCATION","street_1":"1815 STATE ST","city":"WATERTOWN","state":"NY","postal_code":"136019406","country_code":"US","phone":"3157886070","fax":"3157881950"},{"purpose":"MAILING","street_1":"1815 STATE ST","city":"WATERTOWN","state":"NY","postal_code":"136019406","country_code":"US","phone":"3157886070","fax":"3157881950"}],"license":{"state":"NY","number":"206048"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"01753204","state":"NY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20110419000053","type_code":"14-18","type_desc":"PRACTITIONER - OPHTHALMOLOGY","state":"NY","pac_id":"3678757556"}]},"enumeration_date":"2006-05-11","last_updated":"2007-07-08","_meta":{"source":"NPPES","snapshot_date":"2007-07-08","doc_url":"https://findmynpi.com/api"}}