Individual provider Active NPI

Spencer Gabbard, O.D.

  • Optometrist
  • Cold Spring, KY
National Provider Identifier
1184115123
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6646 Issued in OH
Practice address
339 Crossroads Blvd
Cold Spring, KY 41076-2194
Phone
(859) 441-9464
NPI assigned
May 25, 2018
Last updated
Nov 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6646 OH Primary

Addresses

Primary practice location

339 Crossroads Blvd
Cold Spring, KY 41076-2194

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 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

Enrollment IDStateProvider typePAC IDDetails
I20181004001237 OH Practitioner - Optometry 9931451887 Reassigns benefits to 1 organization
I20181031001506 KY Practitioner - Optometry 9931451887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8537 US Hwy 42
Suite 4F
Florence, KY 41042-4796
Phone (859) 282-0911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6646OHMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Kentucky, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Kentucky, PLLC Optometrist CurrentSince Mar 1, 2020 Accepting new patients
Myeyedr Optometry of Ohio, LLC Optometrist CurrentSince Jul 15, 2019 Accepting new patients
Myeyedr Optometry of Ohio, LLC Optometrist CurrentSince Jul 15, 2019 Accepting new patients
Myeyedr Optometry of Ohio, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Kentucky, PLLC Optometrist CurrentSince Mar 1, 2020 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist Past Accepting new patients

Locations

705 Buttermilk Pike
Crescent Springs, KY 41017
Phone (859) 341-3937

705 Buttermilk Pike
Ste 100
Crescent Springs, KY 41017
Phone (859) 341-3937

8537 US Highway 42
Ste 4F
Florence, KY 41042
Phone (812) 584-8249

142 Pavilion Pkwy
Newport, KY 41071
Phone (859) 291-9464

3850 Paxton Ave
Cincinnati, OH 45209
Phone (513) 533-0031

5303 Glenway Ave
Cincinnati, OH 45238
Phone (513) 921-8040

8315 Beechmont Ave
Ste 33
Cincinnati, OH 45255
Phone (513) 474-4444

8340 Colerain Ave
Cincinnati, OH 45239
Phone (513) 245-9099

8740 Montgomery Rd
Ste 106
Cincinnati, OH 45236
Phone (513) 791-2222

1090 State Route 28
Ste A
Milford, OH 45150
Phone (513) 575-9464

8254 Mayberry Sq N
Sylvania, OH 43560
Phone (419) 885-5300

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1184115123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 CROSSROADS BLVD",
            "city": "COLD SPRING",
            "state": "KY",
            "postal_code": "410762194",
            "telephone_number": "859-441-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABBARD",
        "first_name": "SPENCER",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-25",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cold Spring, KY

Sources for this page

Verify at the official NPI Registry.