Individual provider Active NPI

Angela Lee Ann Dabbs, OD

  • Pediatric Optometrist
  • Morristown, TN
National Provider Identifier
1164437836
Registry record updated Aug 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric OptometristTaxonomy code 152WP0200X
License
2663 Issued in TN
Practice address
1760 W Morris Blvd
Morristown, TN 37813-2834
Phone
(423) 581-2020
Fax
(423) 581-2040
NPI assigned
Jul 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Optometrist 152WP0200X 2663 TN Primary

Addresses

Primary practice location

1760 W Morris Blvd
Morristown, TN 37813-2834

Mailing address

1760 W Morris Blvd
Morristown, TN 37813-2834
Phone (423) 581-2020

Other names 1

  • Mrs. Angela Lee Ann Spence Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20110929000504 TN Practitioner - Optometry 2264532597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Associates of Morristown, Inc.Group PAC ID 3173549094, 6 clinicians

Practice addresses (Care Compare)

1760 W Morris Blvd
Morristown, TN 37813-2834
Phone (423) 581-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2663TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Associates of Morristown, Inc. CurrentSince Aug 22, 2011 Accepting new patients
Bedford Vision and Eye Clinic PLLC PastSince Jun 19, 2019 Accepting new patients

Locations

1760 W Morris Blvd
Morristown, TN 37813
Phone (423) 258-5617

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314316800000",
    "number": "1164437836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 W MORRIS BLVD",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132834",
            "telephone_number": "423-581-2020",
            "fax_number": "423-581-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 W MORRIS BLVD",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132834",
            "telephone_number": "423-581-2020",
            "fax_number": "423-581-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABBS",
        "first_name": "ANGELA",
        "middle_name": "LEE ANN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2011-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "TN",
            "license": "2663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "SPENCE",
            "middle_name": "LEE ANN",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morristown, TN

Sources for this page

Verify at the official NPI Registry.