{
  "npi": "1295781425",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "O.D.",
    "enumeration_date": "2006-05-26",
    "first_name": "TODD",
    "last_name": "WIEDELL",
    "last_updated": "2019-01-21",
    "middle_name": "M",
    "name_prefix": "Dr.",
    "sex": "M",
    "sole_proprietor": "YES",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "30960 GOVERNMENT DR",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "PEQUOT LAKES",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "218-568-8904",
      "postal_code": "564721003",
      "state": "MN",
      "telephone_number": "218-568-5555"
    },
    {
      "address_1": "PO BOX 176",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "PEQUOT LAKES",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "218-568-8904",
      "postal_code": "564720176",
      "state": "MN",
      "telephone_number": "218-568-5555"
    }
  ],
  "taxonomies": [
    {
      "code": "152W00000X",
      "desc": "Optometrist",
      "license": "2945",
      "primary": true,
      "state": "MN",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "NPI": "1295781425",
      "LAST_NAME": "WIEDELL",
      "FIRST_NAME": "TODD",
      "PARTB": "Y",
      "DME": "Y",
      "HHA": "Y",
      "PMD": "N",
      "HOSPICE": "Y"
    }
  },
  "medicare_utilization": {
    "total_beneficiaries": "192",
    "total_services": "1780",
    "total_medicare_allowed_amt": "29482.37",
    "top_hcpcs_services": [
      {
        "code": "92004",
        "description": "New patient complete exam of visual system",
        "services": "25",
        "beneficiaries": "25"
      },
      {
        "code": "92014",
        "description": "Established patient complete exam of visual system",
        "services": "145",
        "beneficiaries": "145"
      },
      {
        "code": "92250",
        "description": "Photography of the retina",
        "services": "20",
        "beneficiaries": "20"
      },
      {
        "code": "99212",
        "description": "Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more",
        "services": "21",
        "beneficiaries": "15"
      },
      {
        "code": "99213",
        "description": "Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more",
        "services": "31",
        "beneficiaries": "23"
      }
    ]
  },
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Eye and Vision Service Providers — Optometrist",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "41",
        "medicare_type": "Optometry"
      }
    ]
  }
}