{"result_count":1,"results":[{"addresses":[{"address_1":"202 NW 1ST AVE","address_purpose":"LOCATION","address_type":"DOM","city":"GRAND RAPIDS","country_code":"US","country_name":"United States","fax_number":"218-999-0067","postal_code":"55744","state":"MN","telephone_number":"218-326-0358"},{"address_1":"202 NW 1ST AVE","address_purpose":"MAILING","address_type":"DOM","city":"GRAND RAPIDS","country_code":"US","country_name":"United States","fax_number":"218-326-0566","postal_code":"55744","state":"MN","telephone_number":"218-326-0358"}],"basic":{"authorized_official_credential":"OD","authorized_official_first_name":"LARRY","authorized_official_last_name":"SCHLAUDERAFF","authorized_official_middle_name":"JAMES","authorized_official_name_prefix":"Dr.","authorized_official_name_suffix":"--","authorized_official_telephone_number":"2183260358","authorized_official_title_or_position":"Owner Optometrist","certification_date":"2024-11-25","enumeration_date":"2006-11-13","last_updated":"2024-11-25","organization_name":"EYE FASHIONS OPTICAL SHOPPE INC","organizational_subpart":"NO","status":"A"},"created_epoch":"1163463461000","endpoints":[],"enumeration_type":"NPI-2","identifiers":[{"code":"01","desc":"Other (non-Medicare)","identifier":"1008835","issuer":"Coporate Benefit Serv","state":null},{"code":"01","desc":"Other (non-Medicare)","identifier":"2200897","issuer":"Medica GR EX","state":null},{"code":"01","desc":"Other (non-Medicare)","identifier":"3C837EY","issuer":"Blue Plus","state":null},{"code":"01","desc":"Other (non-Medicare)","identifier":"3C837EY","issuer":"Blue Shield","state":null},{"code":"01","desc":"Other (non-Medicare)","identifier":"3C838SC","issuer":"Blue Plus","state":null},{"code":"01","desc":"Other (non-Medicare)","identifier":"3C838SC","issuer":"Blue Shield","state":null},{"code":"01","desc":"Other (non-Medicare)","identifier":"4C427EY","issuer":"Minn Care Blue Plus","state":"MN"},{"code":"01","desc":"Other (non-Medicare)","identifier":"4C427EY","issuer":"Blue Plus","state":null},{"code":"05","desc":"MEDICAID","identifier":"593932000","issuer":null,"state":"MN"},{"code":"01","desc":"Other (non-Medicare)","identifier":"974251008835","issuer":"CBSA PPO","state":null},{"code":"01","desc":"Other (non-Medicare)","identifier":"974251008835","issuer":"Preferred One","state":null},{"code":"01","desc":"Other (non-Medicare)","identifier":"HP29720","issuer":"HealthPartners","state":null},{"code":"01","desc":"Other (non-Medicare)","identifier":"U33589","issuer":"FirstPlanBlue","state":null},{"code":"01","desc":"Other (non-Medicare)","identifier":"U33589","issuer":"FirstPlan","state":null},{"code":"01","desc":"Other (non-Medicare)","identifier":"U33589","issuer":"EyeMed","state":null}],"last_updated_epoch":"1732559343000","number":"1477624971","other_names":[],"practiceLocations":[],"taxonomies":[{"code":"152W00000X","desc":"Optometrist","license":"2415","primary":true,"state":"MN","taxonomy_group":"193400000X - Single Specialty Group"}]}]}