{
  "npi": "1699610634",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "HADE",
    "authorized_official_first_name": "PETER",
    "authorized_official_last_name": "TRIMBOLI",
    "authorized_official_telephone_number": "4808689587",
    "authorized_official_title_or_position": "Owner",
    "certification_date": "2026-04-23",
    "enumeration_date": "2026-04-23",
    "last_updated": "2026-04-23",
    "organization_name": "CRYSTAL CLEAR HEARING CENTERS LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "723 W SUMMER HAVEN LN",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "LAKESIDE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "859297082",
      "state": "AZ",
      "telephone_number": "480-868-9587"
    },
    {
      "address_1": "723 W SUMMER HAVEN LN",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "LAKESIDE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "859297082",
      "state": "AZ",
      "telephone_number": "480-868-9587"
    }
  ],
  "taxonomies": [
    {
      "code": "237700000X",
      "desc": "Hearing Instrument Specialist",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": "193400000X - 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 Hearing Instrument Specialist",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}