{
  "npi": "1942478045",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "MD",
    "authorized_official_first_name": "ANDREA",
    "authorized_official_last_name": "LUSK",
    "authorized_official_middle_name": "L",
    "authorized_official_name_prefix": "Dr.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "7278685875",
    "authorized_official_title_or_position": "sole owner",
    "enumeration_date": "2008-02-12",
    "last_updated": "2008-03-27",
    "organization_name": "ANDREA L LUSK MD LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "11031 US HIGHWAY 19",
      "address_2": "SUITE 106",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "PORT RICHEY",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "727-489-9494",
      "postal_code": "346682213",
      "state": "FL",
      "telephone_number": "727-868-5875"
    },
    {
      "address_1": "1802 ISLEWORTH CT",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "OLDSMAR",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "727-489-9494",
      "postal_code": "346774857",
      "state": "FL",
      "telephone_number": "727-868-5875"
    }
  ],
  "taxonomies": [
    {
      "code": "207W00000X",
      "desc": "Ophthalmology",
      "license": "ME 85673",
      "primary": true,
      "state": "FL",
      "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": "Board-Certified in Ophthalmology (Medical & Microsurgical Eye Doctor)",
    "certifying_board": "American Board of Ophthalmology (ABO)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "18",
        "medicare_type": "Physician/Ophthalmology"
      }
    ]
  }
}