Charlotte Irene Spada, OD

Primary specialty

Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X

License

11021 Issued in TX

Practice address

2547 E Commerce St
San Antonio, TX 78203-1907

Phone

(210) 619-7020

NPI assigned

Nov 30, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Optometry

Education

New England College of Optometry, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of the Incarnate WordGroup PAC ID 9234310301, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University of the Incarnate Word

  • Optometrist
  • San Antonio, TX
  • NPI 1003129784
  Medicare reassignment Care Compare group NPD
• University of the Incarnate Word

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1033591706
  NPD

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1114793155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9725 DATAPOINT DR # 69",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2547 E COMMERCE ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782031907",
            "telephone_number": "210-619-7020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9725 Datapoint Dr # 69",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782292384",
            "country_code": "US",
            "telephone_number": "210-283-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPADA",
        "first_name": "CHARLOTTE",
        "middle_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11021",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "TX",
            "license": "11021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spa Lounge LLC
• Emery Spaar, RPH
• Lance Spacek, M.D.
• Gregory Keith Spackman, DDS MBA
• James Marcus Spackman, RN
• Cathy J Spadaccini, MD
• Julian Spain-Ledezma, LMFT-ASSOCIATE
• Danika Spake, COMS
• James Richard Spalding
• Katherine M Spalding, PT, DPT

• Low Vision Rehabilitation Optometrist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Low Vision Rehabilitation Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.