{"npi":"1942284880","type":"NPI-2","status":"active","name":{"display":"Pembroke Optometric Clinic PA","other":[],"organization_name":"PEMBROKE OPTOMETRIC CLINIC PA","authorised_official":"Sandra Locklear"},"specialty":{"primary_taxonomy":"152W00000X","primary_taxonomy_description":"Optometrist","slug":"optometrist","schema_org_specialty":null,"all":[{"code":"152W00000X","description":"Optometrist","primary":true,"state":"NC","license":"1318"}]},"addresses":[{"purpose":"LOCATION","street_1":"204 UNION CHAPEL RD","city":"PEMBROKE","state":"NC","postal_code":"283722109","country_code":"US","phone":"9105219744","fax":"9105211310"},{"purpose":"MAILING","street_1":"PO BOX 2109","city":"PEMBROKE","state":"NC","postal_code":"283722109","country_code":"US","phone":"9105219744","fax":"9105211310"}],"license":{"state":"NC","number":"1318"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"8909451","state":"NC","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040717000345","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NC","pac_id":"3173428299"},{"enrlmt_id":"O20100930049575","type_code":"30-41","type_desc":"DME SUPPLIER - PHYSICIAN - OPTOMETRIST","state":"NC","pac_id":"3173428299"}]},"enumeration_date":"2005-12-05","last_updated":"2008-02-12","_meta":{"source":"NPPES","snapshot_date":"2008-02-12","doc_url":"https://findmynpi.com/api"}}