David Thomas Spengel, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046-008563 Issued in IL

Practice address

1600 N State Route 50
RM 580 Northfield Square
Bourbonnais, IL 60914-9307

Phone

(815) 935-0404

Fax

(815) 935-0489

NPI assigned

Dec 19, 2006

Sex

Male

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 IL

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

Locations

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.

• Visionworks, Inc.

  • Optometrist
  • Niles, IL
  • NPI 1831115906
  Medicare reassignment NPD
• Visionworks, Inc

  • Eyewear Supplier
  • Simpsonville, SC
  • NPI 1699571166
  NPD
• Pearle Vision Inc

  • Eyewear Supplier
  • Fairview Heights, IL
  • NPI 1982744033
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1306909445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13241 VILLAGE CT",
            "city": "CRESTWOOD",
            "state": "IL",
            "postal_code": "604451309",
            "telephone_number": "708-597-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N STATE ROUTE 50",
            "address_2": "RM 580 NORTHFIELD SQUARE",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609149307",
            "telephone_number": "815-935-0404",
            "fax_number": "815-935-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENGEL",
        "first_name": "DAVID",
        "middle_name": "THOMAS",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-008563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Smith
• Madalyn E Snyder, DMD
• Dimple Mukesh Soni, O.D.
• Renee Michelle Spanburg, PT
• Special Needs Specialists Inc.
• Carrie Lynn Spitalli, PSY.D.
• Jennifer Spytek, PT, DPT, ATC
• St. George School District #258
• Aria Stalnecker, RBT
• Douglas M Stam, DC

• Optometrist in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.