Individual provider Active NPI

Spenser J Brittain, O.D.

  • Optometrist
  • Temperance, MI
National Provider Identifier
1063420768
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004368 Issued in MI
Practice address
6812 Lewis Ave
Temperance, MI 48182-1203
Phone
(734) 693-4443
NPI assigned
Aug 4, 2006
Last updated
Aug 2, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004368 MI Primary
Optometrist 152W00000X OEG001499 PA
Optometrist 152W00000X 5673 OH

Addresses

Primary practice location

6812 Lewis Ave
Temperance, MI 48182-1203

Mailing address

6812 Lewis Ave
Temperance, MI 48182-1203
Phone (734) 693-4443

Other identifiers 1

IdentifierTypeStateIssuer
4918263MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151028001139 MI Practitioner - Optometry 5193740272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6812 Lewis Ave
Temperance, MI 48182-1203
Phone (734) 224-7020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901004368MIMDOptometrist
OEG001499PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity Forest, PLLC Optometrist CurrentSince Apr 28, 2024 Accepting new patients
Spenser J. Brittain, O.D. PLLC Optometrist CurrentSince Sep 23, 2015 Accepting new patients
Reed Vision Associates, P.C. Optometrist Past Accepting new patients
Mercy Eye Institute, LLC. Optometrist Past Accepting new patients
Reed Vision Associates, P.C. Optometrist Past Accepting new patients

Locations

550 Forest Ave
Ste 12
Plymouth, MI 48170
Phone (734) 455-3340

6812 Lewis Ave
Temperance, MI 48182
Phone (734) 224-7020

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312243200000",
    "number": "1063420768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6812 LEWIS AVE",
            "city": "TEMPERANCE",
            "state": "MI",
            "postal_code": "481821203",
            "telephone_number": "734-693-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6812 LEWIS AVE",
            "city": "TEMPERANCE",
            "state": "MI",
            "postal_code": "481821203",
            "telephone_number": "734-693-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRITTAIN",
        "first_name": "SPENSER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2011-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004368",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001499",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5673",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4918263",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temperance, MI

Sources for this page

Verify at the official NPI Registry.