{
  "npi": "1164545174",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "Ophthalmic Dispenser",
    "enumeration_date": "2007-04-06",
    "first_name": "THOMAS",
    "last_name": "FOOTE",
    "last_updated": "2008-07-23",
    "middle_name": "CHRISTIAN",
    "name_prefix": "Mr.",
    "name_suffix": "--",
    "sex": "M",
    "sole_proprietor": "YES",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PO BOX 165",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "JAVA CENTER",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "140820165",
      "state": "NY",
      "telephone_number": "585-752-3838"
    },
    {
      "address_1": "95 OLD ORCHARD RD",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "ARCADE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "14009",
      "state": "NY",
      "telephone_number": "585-752-3838"
    }
  ],
  "taxonomies": [
    {
      "code": "156FC0801X",
      "desc": "Technician/Technologist, Contact Lens Fitter",
      "license": "5313C",
      "primary": false,
      "state": "NY",
      "taxonomy_group": ""
    },
    {
      "code": "156FX1800X",
      "desc": "Technician/Technologist, Optician",
      "license": "5313C",
      "primary": true,
      "state": "NY",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": true,
      "status": "EXCLUDED",
      "matches": [
        {
          "name": "THOMAS C FOOTE",
          "npi": "1164545174",
          "specialty": "OPTICIAN",
          "city": "JAVA CENTER",
          "state": "NY",
          "excl_type": "1128a1",
          "excl_date": "2022-07-20",
          "statute_desc": "Sec. 1128(a)(1) — Conviction of Program-Related Crimes (Mandatory 5-Yr Min)"
        }
      ],
      "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 Eye & Vision Service Providers — Technician — Technologist, Optician",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "96[5]",
        "medicare_type": "Optician"
      }
    ]
  }
}