Active NPI
Michael N Spitzer, O.D.
- Optometrist
- Irvine, CA
National Provider Identifier
1003931346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 7064T
- Practice address
- 2646 Dupont Dr Ste 240
Irvine, CA 92612-1689 - Phone
- (949) 955-3937
- NPI assigned
- Mar 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 7064T | CA | Primary |
Addresses
Primary practice location
2646 Dupont Dr Ste 240
Irvine, CA 92612-1689
Mailing address
2646 Dupont Dr.
#240
Irvine, CA 92612
Phone (949) 955-3937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7064T | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245283200000",
"number": "1003931346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2646 DUPONT DR.",
"address_2": "#240",
"city": "IRVINE",
"state": "CA",
"postal_code": "92612",
"telephone_number": "949-955-3937",
"fax_number": "949-955-3937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2646 DUPONT DR STE 240",
"city": "IRVINE",
"state": "CA",
"postal_code": "926121689",
"telephone_number": "949-955-3937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPITZER",
"first_name": "MICHAEL",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2009-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "7064T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.