Individual provider Active NPI

Jeanine Spoors, OD

  • Optometrist
  • Pensacola, FL
National Provider Identifier
1265126080
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6353 Issued in FL
Practice address
6677 N Davis Hwy
Pensacola, FL 32504-6386
Phone
(850) 485-5764
NPI assigned
Jun 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2317DT KY
Optometrist 152W00000X OPC6353 FL Primary

Addresses

Primary practice location

6677 N Davis Hwy
Pensacola, FL 32504-6386

Mailing address

6677 N Davis Hwy
Pensacola, FL 32504-6386
Phone (850) 485-5764

Other practice location 1

3701 Loop Rd
Tuscaloosa, AL 35404-5015
Phone (205) 554-2000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231004001716 FL Practitioner - Optometry 0648624031 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Douglas Reynolds, O.D. Santa Rosa, P.a.Group PAC ID 7113286451, 6 clinicians
Douglas Reynolds OD PAGroup PAC ID 3375584295, 8 clinicians
Medical Services Corp of FloridaGroup PAC ID 3971996778, 8 clinicians

Practice addresses (Care Compare)

4377 Woodbine Rd
Pace, FL 32571-8792
Phone (850) 995-4555

460 E 9 Mile Rd
Pensacola, FL 32514-1441
Phone (850) 477-1499

600 W Gregory St
Pensacola, FL 32502-4744
Phone (239) 366-1948

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2317DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Services Corp of Florida CurrentSince Jul 29, 2024 Accepting new patients
My Eye Guy LLC Optometrist CurrentSince Sep 12, 2023 Accepting new patients
Douglas Reynolds OD PA Optometrist CurrentSince Sep 4, 2024 Accepting new patients
Douglas Reynolds, O.D. Santa Rosa, P.a. Optometrist CurrentSince Nov 11, 2024 Accepting new patients
Eye Guy Associates of Florida LLC Optometrist CurrentSince Sep 12, 2023 Accepting new patients
F & M of Milton Inc Optometrist PastSince Nov 11, 2024 Accepting new patients

Locations

6363 Verde Trl
Boca Raton, FL 33433
Phone (561) 226-1885

2491 S Ferdon Blvd
Crestview, FL 32536
Phone (850) 682-4014

2310 N Airport Rd
Fort Myers, FL 33907
Phone (239) 931-8401

8495 Normandy Blvd
Jacksonville, FL 32221
Phone (570) 352-3063

800 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-1550

5560 Stewart St
Milton, FL 32570
Phone (850) 623-2545

570 Wells Rd
Orange Park, FL 32073
Phone (904) 264-3912

4377 Woodbine Rd
Pace, FL 32571
Phone (850) 995-4555

5328 N Davis Hwy
Pensacola, FL 32503
Phone (850) 434-6387

6677 N Davis Hwy
Pensacola, FL 32504
Phone (850) 434-6387

6700 N Davis Hwy
Pensacola, FL 32504
Phone (850) 434-4825

600 W Gregory St
Pensacola, FL 32502
Phone (850) 434-8071

460 E Nine Mile Rd
Pensacola, FL 32514
Phone (850) 266-7500

Organizations & group practices 6

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": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1265126080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6677 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046386",
            "telephone_number": "850-485-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6677 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046386",
            "telephone_number": "850-485-5764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3701 Loop Rd",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "354045015",
            "country_code": "US",
            "telephone_number": "205-554-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPOORS",
        "first_name": "JEANINE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2317DT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.