Alexis Danielle Spencer, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002562 Issued in GA

Practice address

596 Bobby Jones Expy
Augusta, GA 30907-5300

Phone

(703) 342-8889

NPI assigned

Oct 28, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Alexis Danielle Charles Former name

Medicare fee-for-service enrollment

Enrolled in GA, DC2 enrollments

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 2

Specialty

Optometry

Education

Southern California College of Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Casey N Roland, OD, PCGroup PAC ID 8325268337, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Casey N Roland, OD, PC

  • Optometrist
  • Evans, GA
  • NPI 1225446701
  Medicare reassignment Care Compare group NPD
• Family Optometric Associates P.C.

  • Optometrist
  • Bethesda, MD
  • NPI 1629197520

  DC

  Medicare reassignment
• Spencer Eye Care, LLC

  • Optometrist
  • Augusta, GA
  • NPI 1144530833
  NPD (past) Authorized official
• DHHS PHS Naihs Fort Defiance Hospital

  dba PHS Fort Defiance Indian Hospital

  • General Acute Care Hospital
  • Fort Defiance, AZ
  • NPI 1700962131
  NPD (past)
• Eye to Eye of Frederick Inc

  • Optometrist
  • Frederick, MD
  • NPI 1861683872
  NPD (past)

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299628800000",
    "number": "1144473802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2622 SERENITY LN",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309090646",
            "telephone_number": "703-342-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 BOBBY JONES EXPY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309075300",
            "telephone_number": "703-342-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "ALEXIS",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2011-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001742",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "CHARLES",
            "middle_name": "DANIELLE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katrina J Speed, PHD, DBSM
• Brittany Speer, OTR/L
• Sarah Speese, MD
• Sarah Ann Spellman, NP
• Spencer Eye Care, LLC
• Carol Faust Spencer, APRN
• Michael Andrew Spencer, M.D.
• Edwin Vincent Sperr, PHD
• Shelby Jean Sperr, PH.D
• Spice of Life

• Optometrist in Augusta, GA
• Providers in Augusta, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.