{"npi":"1932632684","type":"NPI-1","status":"active","name":{"display":"Edward Randerson M.D.","other":[],"first":"EDWARD","last":"RANDERSON","middle":"L","credential":"M.D."},"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":"WI","license":"72013"}]},"addresses":[{"purpose":"LOCATION","street_1":"925 N 87TH ST","city":"MILWAUKEE","state":"WI","postal_code":"532264812","country_code":"US","phone":"4149552020","fax":"4149556300"},{"purpose":"MAILING","street_1":"925 N 87TH ST","city":"MILWAUKEE","state":"WI","postal_code":"532264812","country_code":"US","phone":"4149552020","fax":"4149556300"}],"license":{"state":"WI","number":"72013"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1932632684","state":"WI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20220716000562","type_code":"14-18","type_desc":"PRACTITIONER - OPHTHALMOLOGY","state":"WI","pac_id":"7810398542"}]},"enumeration_date":"2017-04-10","last_updated":"2022-07-14","_meta":{"source":"NPPES","snapshot_date":"2022-07-14","doc_url":"https://findmynpi.com/api"}}