{
  "npi": "1124250899",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "BCO, CCA",
    "authorized_official_first_name": "KAYLEE",
    "authorized_official_last_name": "DOUGHERTY",
    "authorized_official_middle_name": "LIZABETH",
    "authorized_official_telephone_number": "8008242492",
    "authorized_official_title_or_position": "President",
    "certification_date": "2020-05-06",
    "enumeration_date": "2009-08-14",
    "last_updated": "2020-05-06",
    "organization_name": "BOSTON OCULAR PROSTHETICS INC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "270 MAIN ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "READING",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "877-824-2413",
      "postal_code": "018673610",
      "state": "MA",
      "telephone_number": "800-824-2492"
    },
    {
      "address_1": "PO BOX 245",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "SEARSPORT",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "877-824-2413",
      "postal_code": "049740245",
      "state": "ME",
      "telephone_number": "800-824-2492"
    }
  ],
  "taxonomies": [
    {
      "code": "156FX1700X",
      "desc": "Technician/Technologist, Ocularist",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193400000X - Multiple Single Specialty Group"
    },
    {
      "code": "332B00000X",
      "desc": "Durable Medical Equipment & Medical Supplies",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "229N00000X",
      "desc": "Anaplastologist",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": "193400000X - Multiple Single Specialty Group"
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Respiratory, Developmental, Rehabilitative, and Restorative Service Providers — Anaplastologist",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "56",
        "medicare_type": "Individual Certified Prosthetist"
      },
      {
        "medicare_code": "57",
        "medicare_type": "Individual Certified Prosthetist-Orthotist"
      }
    ]
  }
}