Active NPI
Stacie E Spearman, LDO, ABOC, NCLE
- Optician
- Florence, SC
National Provider Identifier
1457044471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 1295
- Practice address
- 200 N Beltline Dr
Florence, SC 29501-7403 - Phone
- (843) 758-6089
- Fax
- (843) 673-9432
- NPI assigned
- May 26, 2023
- Last updated
- May 26, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 1295 | SC | Primary |
Addresses
Primary practice location
200 N Beltline Dr
Florence, SC 29501-7403
Mailing address
3467 Claude Douglas Cir
Florence, SC 29501-8247
Phone (864) 642-7685
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1295 | SC | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685059200000",
"number": "1457044471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3467 CLAUDE DOUGLAS CIR",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295018247",
"telephone_number": "864-642-7685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N BELTLINE DR",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295017403",
"telephone_number": "843-758-6089",
"fax_number": "843-673-9432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEARMAN",
"first_name": "STACIE",
"middle_name": "E",
"credential": "LDO, ABOC, NCLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-26",
"last_updated": "2023-05-26",
"certification_date": "2023-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "SC",
"license": "1295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.