{"result_count":1,"results":[{"addresses":[{"address_1":"124 SUNSET COURT","address_purpose":"LOCATION","address_type":"DOM","city":"WEST COLUMBIA","country_code":"US","country_name":"United States","fax_number":"803-931-0076","postal_code":"29169","state":"SC","telephone_number":"803-931-0077"},{"address_1":"124 SUNSET COURT","address_purpose":"MAILING","address_type":"DOM","city":"WEST COLUMBIA","country_code":"US","country_name":"United States","fax_number":"803-931-0076","postal_code":"29169","state":"SC","telephone_number":"803-931-0077"}],"basic":{"authorized_official_credential":"MD","authorized_official_first_name":"JOHN","authorized_official_last_name":"WELLS","authorized_official_middle_name":"A","authorized_official_name_prefix":"Dr.","authorized_official_name_suffix":"III","authorized_official_telephone_number":"8039310077","authorized_official_title_or_position":"Managing Member","certification_date":"2020-12-09","enumeration_date":"2005-11-02","last_updated":"2020-12-09","organization_name":"PALMETTO RETINA CENTER LLC","organizational_subpart":"NO","status":"A"},"created_epoch":"1130961473000","endpoints":[],"enumeration_type":"NPI-2","identifiers":[{"code":"05","desc":"MEDICAID","identifier":"GP0623","issuer":null,"state":"SC"}],"last_updated_epoch":"1607541373000","number":"1255322806","other_names":[],"practiceLocations":[{"address_1":"1055 SILVER BLUFF RD","address_purpose":"LOCATION","address_type":"DOM","city":"AIKEN","country_code":"US","country_name":"United States","fax_number":"803-931-0076","postal_code":"298035861","state":"SC","telephone_number":"803-931-0077"},{"address_1":"1170 BOULEVARD ST STE E","address_purpose":"LOCATION","address_type":"DOM","city":"ORANGEBURG","country_code":"US","country_name":"United States","fax_number":"803-931-0076","postal_code":"291154359","state":"SC","telephone_number":"803-931-0077"},{"address_1":"2611 FOREST DR STE 110","address_purpose":"LOCATION","address_type":"DOM","city":"COLUMBIA","country_code":"US","country_name":"United States","fax_number":"803-931-0076","postal_code":"292042372","state":"SC","telephone_number":"803-931-0077"},{"address_1":"1831 W EVANS ST STE 315","address_purpose":"LOCATION","address_type":"DOM","city":"FLORENCE","country_code":"US","country_name":"United States","fax_number":"803-931-0076","postal_code":"295013300","state":"SC","telephone_number":"803-931-0077"},{"address_1":"528 BROAD ST STE 101","address_purpose":"LOCATION","address_type":"DOM","city":"SUMTER","country_code":"US","country_name":"United States","fax_number":"803-931-0076","postal_code":"291503368","state":"SC","telephone_number":"803-931-0077"},{"address_1":"400 N CASHUA DR","address_purpose":"LOCATION","address_type":"DOM","city":"FLORENCE","country_code":"US","country_name":"United States","fax_number":"803-931-0076","postal_code":"295012098","state":"SC","telephone_number":"803-931-0077"}],"taxonomies":[{"code":"207W00000X","desc":"Ophthalmology","license":null,"primary":true,"state":null,"taxonomy_group":"193200000X - Multi-Specialty Group"}]}]}