{"result_count":1,"results":[{"addresses":[{"address_1":"2130 S WASHBURN ST","address_purpose":"LOCATION","address_type":"DOM","city":"OSHKOSH","country_code":"US","country_name":"United States","fax_number":"920-232-6552","postal_code":"549048949","state":"WI","telephone_number":"920-232-6550"},{"address_1":"PO BOX 2723","address_purpose":"MAILING","address_type":"DOM","city":"OSHKOSH","country_code":"US","country_name":"United States","postal_code":"549032723","state":"WI"}],"basic":{"authorized_official_credential":"M.D.","authorized_official_first_name":"ERIC","authorized_official_last_name":"LARSON","authorized_official_middle_name":"M","authorized_official_name_prefix":"--","authorized_official_name_suffix":"--","authorized_official_telephone_number":"9202326550","authorized_official_title_or_position":"President","certification_date":"2024-01-16","enumeration_date":"2006-01-23","last_updated":"2024-01-16","organization_name":"NORTHEAST WISCONSIN VISION CENTER, LTD.","organizational_subpart":"NO","status":"A"},"created_epoch":"1138030361000","endpoints":[],"enumeration_type":"NPI-2","identifiers":[{"code":"05","desc":"MEDICAID","identifier":"32863800","issuer":null,"state":"WI"}],"last_updated_epoch":"1705427518000","number":"1295715415","other_names":[],"practiceLocations":[{"address_1":"1885 W POINTE DR","address_purpose":"LOCATION","address_type":"DOM","city":"OSHKOSH","country_code":"US","country_name":"United States","fax_number":"920-232-6552","postal_code":"549024174","state":"WI","telephone_number":"920-232-6550"}],"taxonomies":[{"code":"152W00000X","desc":"Optometrist","license":null,"primary":false,"state":null,"taxonomy_group":"193200000X - Multi-Specialty Group"},{"code":"207W00000X","desc":"Ophthalmology","license":null,"primary":true,"state":null,"taxonomy_group":"193200000X - Multi-Specialty Group"}]}]}