{"result_count":1,"results":[{"addresses":[{"address_1":"800 CLARK ST","address_purpose":"MAILING","address_type":"DOM","city":"CHARLES CITY","country_code":"US","country_name":"United States","fax_number":"641-228-2434","postal_code":"506162218","state":"IA","telephone_number":"641-228-1732"},{"address_1":"800 CLARK ST","address_purpose":"LOCATION","address_type":"DOM","city":"CHARLES CITY","country_code":"US","country_name":"United States","fax_number":"641-228-2434","postal_code":"506162218","state":"IA","telephone_number":"641-228-1732"}],"basic":{"authorized_official_credential":"OD","authorized_official_first_name":"BRADLEY","authorized_official_last_name":"ELLINGSON","authorized_official_middle_name":"JASON","authorized_official_name_prefix":"Dr.","authorized_official_telephone_number":"6412281732","authorized_official_title_or_position":"President","certification_date":"2026-06-26","enumeration_date":"2005-08-26","last_updated":"2026-06-26","organization_name":"OPTOMETRIC CENTER OF CHARLES CITY PC","organizational_subpart":"NO","status":"A"},"created_epoch":"1125066847000","endpoints":[],"enumeration_type":"NPI-2","identifiers":[{"code":"05","desc":"MEDICAID","identifier":"0458463","issuer":null,"state":"IA"}],"last_updated_epoch":"1782488113000","number":"1972596732","other_names":[],"practiceLocations":[],"taxonomies":[{"code":"152W00000X","desc":"Optometrist","license":null,"primary":true,"state":null,"taxonomy_group":"193400000X - Single Specialty Group"}]}]}