NPIMap

Organization Active NPI

Sparks Eye Care LLC

  • Optometrist
  • Fairfield, OH
National Provider Identifier
1346688801
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6160 Issued in OH
Legal business name
SPARKS EYE CARE LLC
Practice address
3174 Mack Rd
Ste. #3
Fairfield, OH 45014-5370
Phone
(513) 874-2000
Fax
(513) 672-9222
NPI assigned
Jun 6, 2013
Last updated
Jun 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Authorized official

Name
Dr. David Michael Sparks, O.D.NPI 1396078994
Title
Sole Member
Phone
(614) 499-0450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6160 OH Primary

Addresses

Primary practice location

3174 Mack Rd
Ste. #3
Fairfield, OH 45014-5370

Mailing address

3174 Mack Rd
Ste. #3
Fairfield, OH 45014-5370
Phone (513) 874-2000

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1346688801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3174 MACK RD",
            "address_2": "STE. #3",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145370",
            "telephone_number": "513-874-2000",
            "fax_number": "513-672-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3174 MACK RD",
            "address_2": "STE. #3",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145370",
            "telephone_number": "513-874-2000",
            "fax_number": "513-672-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKS EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-06",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "614-499-0450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; 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.