{"result_count":1,"results":[{"addresses":[{"address_1":"416 SUPERIOR AVENUE","address_purpose":"LOCATION","address_type":"DOM","city":"CENTURIA","country_code":"US","country_name":"United States","postal_code":"54824","state":"WI","telephone_number":"715-646-1336"},{"address_1":"416 SUPERIOR AVENUE","address_2":"PO BOX 400","address_purpose":"MAILING","address_type":"DOM","city":"CENTURIA","country_code":"US","country_name":"United States","postal_code":"54824","state":"WI","telephone_number":"715-646-1336"}],"basic":{"certification_date":"2024-12-12","credential":"O.D.","enumeration_date":"2007-01-10","first_name":"JODI","last_name":"BERGSTROM","last_updated":"2024-12-12","middle_name":"ANN","sex":"F","sole_proprietor":"NO","status":"A"},"created_epoch":"1168460146000","endpoints":[],"enumeration_type":"NPI-1","identifiers":[{"code":"05","desc":"MEDICAID","identifier":"38594500","issuer":null,"state":"WI"}],"last_updated_epoch":"1734007289000","number":"1568511095","other_names":[],"practiceLocations":[],"taxonomies":[{"code":"152W00000X","desc":"Optometrist","license":"3054","primary":false,"state":"MD","taxonomy_group":""},{"code":"152W00000X","desc":"Optometrist","license":"2281","primary":true,"state":"WI","taxonomy_group":""},{"code":"152W00000X","desc":"Optometrist","license":"2231","primary":false,"state":"MN","taxonomy_group":""},{"code":"152W00000X","desc":"Optometrist","license":"1643","primary":false,"state":"NE","taxonomy_group":""},{"code":"152W00000X","desc":"Optometrist","license":"4901005835","primary":false,"state":"MI","taxonomy_group":""},{"code":"152W00000X","desc":"Optometrist","license":"TPOP218","primary":false,"state":"FL","taxonomy_group":""}]}]}