Organization Active NPI

Spencer Family Eye Care, LLC

  • Optometrist
  • Fort Meade, MD
National Provider Identifier
1245628577
Registry record updated Jan 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2438 Issued in MD
Legal business name
SPENCER FAMILY EYE CARE, LLC
Practice address
2799 Rose Street
Fort Meade, MD 20755
Phone
(703) 342-8889
NPI assigned
Jan 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2015

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.
Title
Optometrist
Phone
(703) 342-8889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TA2438 MD Primary

Addresses

Primary practice location

2799 Rose Street
Fort Meade, MD 20755

Mailing address

5970 Logans Way
Ellicott City, MD 21043-7507
Phone (703) 342-8889

National Provider Directory

National Provider Directory

Locations

2799 Rose St
Fort Meade, MD 20755
Phone (301) 677-8800

NPI Registry JSON

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420761600000",
    "number": "1245628577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5970 LOGANS WAY",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210437507",
            "telephone_number": "703-342-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 ROSE STREET",
            "city": "FORT MEADE",
            "state": "MD",
            "postal_code": "20755",
            "telephone_number": "703-342-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCER FAMILY EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-09",
        "last_updated": "2015-01-09",
        "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": "MD",
            "license": "TA2438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Meade, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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.