{"result_count":1,"results":[{"addresses":[{"address_1":"851 EASTPORT CENTRE DR","address_purpose":"LOCATION","address_type":"DOM","city":"VALPARAISO","country_code":"US","country_name":"United States","fax_number":"219-531-2356","postal_code":"463832909","state":"IN","telephone_number":"219-464-8223"},{"address_1":"502 MARQUETTE ST","address_purpose":"MAILING","address_type":"DOM","city":"VALPARAISO","country_code":"US","country_name":"United States","fax_number":"219-531-2356","postal_code":"463832509","state":"IN","telephone_number":"219-464-8223"}],"basic":{"certification_date":"2024-11-20","credential":"OD","enumeration_date":"2005-08-11","first_name":"RICHARD","last_name":"CARLSON","last_updated":"2024-11-20","middle_name":"SCOTT","name_prefix":"Dr.","sex":"M","sole_proprietor":"NO","status":"A"},"created_epoch":"1123769818000","endpoints":[],"enumeration_type":"NPI-1","identifiers":[{"code":"01","desc":"Other (non-Medicare)","identifier":"000000549868","issuer":"ANTHEM BC.BS","state":"IN"},{"code":"01","desc":"Other (non-Medicare)","identifier":"01635025","issuer":"BCBS","state":"IL"},{"code":"05","desc":"MEDICAID","identifier":"036059451","issuer":null,"state":"IL"},{"code":"05","desc":"MEDICAID","identifier":"200883420","issuer":null,"state":"IN"},{"code":"01","desc":"Other (non-Medicare)","identifier":"2151005","issuer":"First Health","state":"IL"},{"code":"01","desc":"Other (non-Medicare)","identifier":"P00082449","issuer":"Mediare Railroad","state":"IL"}],"last_updated_epoch":"1732131249000","number":"1073515938","other_names":[],"practiceLocations":[{"address_1":"1003 S EDGEWOOD DR","address_purpose":"LOCATION","address_type":"DOM","city":"KNOX","country_code":"US","country_name":"United States","fax_number":"574-772-2221","postal_code":"465348226","state":"IN","telephone_number":"574-772-2012"}],"taxonomies":[{"code":"152W00000X","desc":"Optometrist","license":"046009441","primary":true,"state":"IL","taxonomy_group":""}]}]}