{"npi":"1861697070","type":"NPI-2","status":"active","name":{"display":"Medical Vision Center, Ltd","other":[],"organization_name":"MEDICAL VISION CENTER, LTD","authorised_official":"Donald Carroll"},"specialty":{"primary_taxonomy":"152W00000X","primary_taxonomy_description":"Optometrist","slug":"optometrist","schema_org_specialty":null,"all":[{"code":"152W00000X","description":"Optometrist","primary":true,"state":"WA","license":"OD00000957"}]},"addresses":[{"purpose":"LOCATION","street_1":"240 W. MAIN ST.","city":"MORTON","state":"WA","postal_code":"98356","country_code":"US","phone":"3604965140","fax":"3604966039"},{"purpose":"MAILING","street_1":"240 W. MAIN ST.","city":"MORTON","state":"WA","postal_code":"98356","country_code":"US","street_2":"P.O. BOX AC","phone":"3604965140","fax":"3604966039"}],"license":{"state":"WA","number":"OD00000957"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"2018240","state":"WA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20120110000642","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"WA","pac_id":"1052431194"}]},"enumeration_date":"2007-06-18","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}