{"npi":"1992955611","type":"NPI-2","status":"active","name":{"display":"Kenneth R Van Amerongen OD, PC","other":[],"organization_name":"KENNETH R VAN AMERONGEN OD,PC","authorised_official":"Kenneth Van Amerongen OD, PC"},"specialty":{"primary_taxonomy":"332H00000X","primary_taxonomy_description":"Eyewear Supplier","slug":"eyewear-supplier","schema_org_specialty":null,"all":[{"code":"332H00000X","description":"Eyewear Supplier","primary":true,"state":"CO","license":"1449"}]},"addresses":[{"purpose":"LOCATION","street_1":"1209 W EISENHOWER BLVD","city":"LOVELAND","state":"CO","postal_code":"805373128","country_code":"US","phone":"9706673445","fax":"9706678426"},{"purpose":"MAILING","street_1":"1209 W EISENHOWER BLVD","city":"LOVELAND","state":"CO","postal_code":"805373128","country_code":"US","phone":"9706673445","fax":"9706678426"}],"license":{"state":"CO","number":"1449"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100930057385","type_code":"30-41","type_desc":"DME SUPPLIER - PHYSICIAN - OPTOMETRIST","state":"CO","pac_id":"1254541139"}]},"enumeration_date":"2008-09-30","last_updated":"2025-08-21","_meta":{"source":"NPPES","snapshot_date":"2025-08-21","doc_url":"https://findmynpi.com/api"}}