Patricia Lynn Sparks, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

I3-0001254 Issued in DE

Practice address

885 S Governors Ave
Dover, DE 19904-4158

Phone

(302) 734-5861

Fax

(302) 734-1921

NPI assigned

Sep 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405036800000",
    "number": "1124128715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 S GOVERNORS AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044158",
            "telephone_number": "302-734-5861",
            "fax_number": "302-734-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 S GOVERNORS AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044158",
            "telephone_number": "302-734-5861",
            "fax_number": "302-734-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "PATRICIA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-23",
        "last_updated": "2014-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "I3-0001254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "264546ZE5F",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanette Ann Southard, LCSW
• Southern Delaware Pain Management LLC
• Southern Delaware Sportscare and Rehabilitation, LLC
• Southside Family Practice, P.a.
• Gregory Spana, M.D.
• Rashida Sparks
• Michael P. Spellicy, O.D.
• Amy B Spence
• Christopher Eugene Spencer
• Nicole Suzanne Sperger, MS, LAT, ATC

• Optometrist in Dover, DE
• Providers in Dover, DE by specialty
• Optometrist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; 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.