Stacey Kristin Spaulding, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 2141 Issued in CO

Practice address

2525 S Wadsworth Blvd
101
Lakewood, CO 80227-3273

Phone

(303) 986-5983

Fax

(303) 986-5473

NPI assigned

Sep 17, 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 3

Medicare fee-for-service enrollment

Enrolled in CO

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

Pacific University - College of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Care Associates of Co LLC 63 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Eye Care Associates of Co LLC

  • Optometrist
  • Centennial, CO
  • NPI 1124674049

  CO, Optometrist

  Medicare reassignment Care Compare group NPD
• Eye Care Associates of Co LLC

  • Optometrist
  • Creston, IA
  • NPI 1548023518
  Care Compare group NPD
• Eye Care Associates of Co LLC

  • Optometrist
  • Fort Dodge, IA
  • NPI 1104689165
  Care Compare group
• Eye Care Associates of Co, LLC

  • Optometrist
  • Atlantic, IA
  • NPI 1215790290
  Care Compare group
• Eye Care Associates of Co, LLC

  • Optometrist
  • Creston, IA
  • NPI 1770346751
  Care Compare group
• Eye Care Associates of Co, LLC

  • Optometrist
  • Grinnell, IA
  • NPI 1801659792
  Care Compare group
• Eye Care Associates of Co, LLC

  • Optometrist
  • Red Oak, IA
  • NPI 1881457760
  Care Compare group

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1164529798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 S WADSWORTH BLVD",
            "address_2": "101",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802273273",
            "telephone_number": "303-986-5983",
            "fax_number": "303-986-5473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S WADSWORTH BLVD",
            "address_2": "101",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802273273",
            "telephone_number": "303-986-5983",
            "fax_number": "303-986-5473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAULDING",
        "first_name": "STACEY",
        "middle_name": "KRISTIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT 2141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7520249",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2670540",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74308718",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer E Spain, LPN
• Dina Rachel Spanbock
• Linda Hope Spangenberg, FNP
• Carl J Spangler, RBT
• Sparklesbykaibe LLC
• Bryce Jacob Spaur
• Margaret Adamma Spearman, MD
• Melissa Kelene Spears, BCBA
• Specialized Counseling Colorado
• Spectra Human Services, Inc.

• All providers in Lakewood, CO
• Optometrist in Colorado

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