Michelle D Spray, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TO3239 Issued in MO

Practice address

70 E School St
Bonne Terre, MO 63628-1722

Phone

(573) 358-4148

Fax

(573) 358-4149

NPI assigned

Aug 4, 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

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Complete Vision Care, Inc.

  • Optometrist
  • Leadington, MO
  • NPI 1497895908
  Medicare reassignment
• Brost & Associates Family Eye Care PC

  • Optometrist
  • Cape Girardeau, MO
  • NPI 1780704643
  NPD (past)
• Brost & Strohmeyer Family Eye Care PC

  • Optometrist
  • Perryville, MO
  • NPI 1861514887
  NPD (past)
• Mark D Peckham OD PC

  • Optometrist
  • Festus, MO
  • NPI 1346419645
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199318400000",
    "number": "1275541302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 E SCHOOL ST",
            "address_2": "P.O. BOX 446",
            "city": "BONNE TERRE",
            "state": "MO",
            "postal_code": "636281722",
            "telephone_number": "573-358-4148",
            "fax_number": "573-358-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 E SCHOOL ST",
            "city": "BONNE TERRE",
            "state": "MO",
            "postal_code": "636281722",
            "telephone_number": "573-358-4148",
            "fax_number": "573-358-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRAY",
        "first_name": "MICHELLE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2008-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "TO3239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice Schilly-Rhodes, P.T.
• Brianna M Shelton, M.S., CCC-SLP
• Taylor Lynn Siebert
• Roxanne Marie Simmons, M.A., CCC-SLP
• Annetta Slover
• Cheyenne Spurgin, PTA
• St Joe Manor Inc
• Lacey Sullivan, FNP-BC
• Katelyn Abigail Swaringim
• Town & Country Grocers of Fredericktown Mo Inc

• Optometrist in Bonne Terre, MO
• Providers in Bonne Terre, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.

Verify at the official NPI Registry.