Spadafora Eye Care PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

SPADAFORA EYE CARE PLLC

Practice address

6445 Citation Dr Ste B
Clarkston, MI 48346-2996

Phone

(248) 709-5099

NPI assigned

Jun 25, 2020

Last updated

Jul 2, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ann Marie Spadafora, ODNPI 1952357147

Title

Doctor

Phone

(248) 709-5099

Specialties & licenses 1

Addresses

Other names 1

• Ann Marie Spadafora, OD Other name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ann Marie Spadafora, OD

  • Optometrist
  • Clarkston, MI
  • NPI 1952357147
  NPD Authorized official
• Shelly Chumbler Spurgess, O.D.

  • Optometrist
  • Clarkston, MI
  • NPI 1952450256
  NPD

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593648000000",
    "number": "1073130035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8111 ROSEBUD LANE",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "48348",
            "telephone_number": "248-709-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6445 CITATION DR STE B",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462996",
            "telephone_number": "248-709-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPADAFORA EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-25",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A",
        "authorized_official_last_name": "SPADAFORA",
        "authorized_official_first_name": "ANN MARIE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "248-709-5099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ann Marie Spadafora, OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Renee Somers, LLP
• Mina Song
• William Sophiea
• Cesily J Sowels
• Rachelle Lynn Sowinski, OTR
• Ann Marie Spadafora, OD
• Wendy Sparks, LMFT
• Specialized Care Facilities, Inc.
• Katherine Spiteri
• Paige Spitzer-Malik, RN

• Medical Specialty Clinic/Center in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Medical Specialty Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.