Active NPI
David L. Spivey, D.O.
- Optometrist
- Fort Worth, TX
National Provider Identifier
1023002441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TX4208TG
- Practice address
- 7125 N Beach St
Fort Worth, TX 76137-1812 - Phone
- (817) 232-2321
- Fax
- (817) 232-4933
- NPI assigned
- Aug 31, 2005
- Last updated
- May 25, 2010
- 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 | TX4208TG | TX | Primary |
Addresses
Primary practice location
7125 N Beach St
Fort Worth, TX 76137-1812
Mailing address
7125 N Beach St
Fort Worth, TX 76137-1812
Phone (817) 232-2321
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TX4208TG | TX | MD | Optometrist |
| 4208 | TX | MD | Electroneurodiagnostic Specialist/Technologist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Fort Worth, TX
- NPI 1225309370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274745600000",
"number": "1023002441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7125 N BEACH ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761371812",
"telephone_number": "817-232-2321",
"fax_number": "817-232-4933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7125 N BEACH ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761371812",
"telephone_number": "817-232-2321",
"fax_number": "817-232-4933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPIVEY",
"first_name": "DAVID",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2010-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "TX4208TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.