Spencer R Maudlin, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1588DT Issued in KY

Practice address

527 W Main St
Mitchell, IN 47446-1410

Phone

(502) 895-2020

Fax

(502) 895-2024

NPI assigned

Sep 26, 2006

Last updated

Jun 4, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY, IN2 enrollments

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 2

Specialty

Optometry

Education

Indiana University - School of Optometry, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Columbus Optical Service Inc.

  • Optician
  • Columbus, IN
  • NPI 1548330160
  Medicare reassignment NPD
• Michael D. Mangas, O.D., P.C.

  • Optometrist
  • Columbus, IN
  • NPI 1376605816
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1457452633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 W MAIN ST",
            "city": "MITCHELL",
            "state": "IN",
            "postal_code": "474461410",
            "telephone_number": "502-894-0322",
            "fax_number": "502-895-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 W MAIN ST",
            "city": "MITCHELL",
            "state": "IN",
            "postal_code": "474461410",
            "telephone_number": "502-895-2020",
            "fax_number": "502-895-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUDLIN",
        "first_name": "SPENCER",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003246A",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1588DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77001543",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ava Lohrig
• Carrie Marshall, CADAC II
• Holly Nicole Mathias, MS, OTR/L
• Stacy Mathias, PTA
• David Matlock, MD
• Alicia McCart
• Kelsey McComb
• Joslynn McFarland
• Magnolia McFarland
• Barbara McHattie, SLP

• Optometrist in Mitchell, IN
• Providers in Mitchell, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.