{"result_count":1,"results":[{"addresses":[{"address_1":"240 CORPORATE DRIVE","address_purpose":"LOCATION","address_type":"DOM","city":"BEAVER DAM","country_code":"US","country_name":"United States","fax_number":"920-887-3353","postal_code":"539163115","state":"WI","telephone_number":"920-887-1151"},{"address_1":"240 CORPORATE DR","address_purpose":"MAILING","address_type":"DOM","city":"BEAVER DAM","country_code":"US","country_name":"United States","fax_number":"920-887-3353","postal_code":"539163115","state":"WI","telephone_number":"920-887-1151"}],"basic":{"authorized_official_credential":"DO","authorized_official_first_name":"THOMAS","authorized_official_last_name":"CASTILLO","authorized_official_name_prefix":"--","authorized_official_name_suffix":"--","authorized_official_telephone_number":"9208871151","authorized_official_title_or_position":"corporation officer","certification_date":"2021-04-21","enumeration_date":"2006-07-15","last_updated":"2021-04-21","organization_name":"VITA PARK EYE ASSOCIATES, SC","organizational_subpart":"YES","parent_organization_legal_business_name":"VITA PARK EYE ASSOCIATES, SC","status":"A"},"created_epoch":"1152988368000","endpoints":[],"enumeration_type":"NPI-2","identifiers":[{"code":"01","desc":"Other (non-Medicare)","identifier":"000016160","issuer":"Office location","state":null},{"code":"01","desc":"Other (non-Medicare)","identifier":"0593830002","issuer":"DEPMOS supplier","state":null},{"code":"05","desc":"MEDICAID","identifier":"21310700","issuer":null,"state":"WI"},{"code":"01","desc":"Other (non-Medicare)","identifier":"519075","issuer":"Dean Care HMO Location","state":null},{"code":"01","desc":"Other (non-Medicare)","identifier":"CP765","issuer":"Rail Road Medicare","state":"WI"}],"last_updated_epoch":"1619030712000","number":"1447276894","other_names":[{"code":"3","organization_name":"THE BEAVER DAM EYE CLINIC","type":"Doing Business As"}],"practiceLocations":[],"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"}]}]}