Active NPI
Lea Kay Spears, O.D.
- Optometrist
- Crestview, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC4350
- Practice address
- 207 N Main St
Crestview, FL 32536-3543 - Phone
- (850) 683-0221
- Fax
- (850) 683-0225
- NPI assigned
- Aug 27, 2008
- Last updated
- Aug 24, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC4350 | FL | Primary |
Addresses
Primary practice location
207 N Main St
Crestview, FL 32536-3543
Mailing address
207 N Main St
Crestview, FL 32536-3543
Phone (850) 683-0221
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02237 | Other | FL | BLUE CROSS AND BLUE SHIELD OF FLORIDA |
| 000859600 | Medicaid | FL |
Other names 1
- Lea Kay McCormick
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC4350 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family First Vision Care, PLLC | Optometrist | Current | Accepting new patients |
| Okaloosa Eye Care PA | Optometrist | Past | Accepting new patients |
| Eye Care Physicians Inc | Past | Accepting new patients |
Locations
4418 Commons Dr E
Ste A
Destin, FL 32541
Phone (850) 654-3937
359 Marsh Landing Pkwy
Jacksonville Beach, FL 32250
Phone (904) 280-0011
11570 Panama City Beach Pkwy
Ste 100
Panama City Beach, FL 32407
Phone (850) 230-4433
316 S Hamilton Rd
Gahanna, OH 43230
Organizations & group practices 3
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.
-
- Optometrist
- Jacksonville, FL
- NPI 1104341882
-
dba Panhandle Vision INSTITUTE
- Ophthalmology Physician
- Pensacola, FL
- NPI 1942295514
-
- Optometrist
- Crestview, FL
- NPI 1124160395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314144000000",
"number": "1235387671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 N MAIN ST",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325363543",
"telephone_number": "850-683-0221",
"fax_number": "850-683-0225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 N MAIN ST",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325363543",
"telephone_number": "850-683-0221",
"fax_number": "850-683-0225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEARS",
"first_name": "LEA",
"middle_name": "KAY",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-27",
"last_updated": "2011-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC4350",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIELD OF FLORIDA",
"identifier": "02237",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000859600",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LEA",
"last_name": "MCCORMICK",
"middle_name": "KAY",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Crestview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.