{"npi":"1922295641","type":"NPI-2","status":"active","name":{"display":"Retina And Macula Consultants PA","other":[],"organization_name":"RETINA AND MACULA CONSULTANTS PA","authorised_official":"Charles Gremillion"},"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":"FL","license":"57634"}]},"addresses":[{"purpose":"LOCATION","street_1":"2400 S MCCALL RD","city":"ENGLEWOOD","state":"FL","postal_code":"342245137","country_code":"US","street_2":"SUITE A","phone":"9414609159","fax":"9414609419"},{"purpose":"MAILING","street_1":"2400 S MCCALL RD","city":"ENGLEWOOD","state":"FL","postal_code":"342245137","country_code":"US","street_2":"SUITE A","phone":"9414609159","fax":"9414609419"}],"license":{"state":"FL","number":"57634"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"069437","state":"FL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20050218000383","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"FL","pac_id":"5294787149"}]},"enumeration_date":"2007-09-26","last_updated":"2008-07-30","_meta":{"source":"NPPES","snapshot_date":"2008-07-30","doc_url":"https://findmynpi.com/api"}}