Organization Active NPI

Spencer Eye Care, LLC

  • Optometrist
  • Augusta, GA
National Provider Identifier
1144530833
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2562 Issued in GA
Legal business name
SPENCER EYE CARE, LLC
Practice address
596 Bobby Jones Expy
Augusta, GA 30907-5300
Phone
(706) 863-1150
NPI assigned
Oct 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Authorized official

Name
Dr. Alexis Danielle Spencer, O.D.NPI 1144473802
Title
Optometrist
Phone
(703) 342-8889

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2562 GA Primary

Addresses

Primary practice location

596 Bobby Jones Expy
Augusta, GA 30907-5300

Mailing address

2622 Serenity LN
Augusta, GA 30909-0646
Phone (703) 342-8889

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1144530833",
    "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": "706-863-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCER EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "703-342-8889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "2562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.