Individual provider Active NPI

Carolyn J Newcome-Sparks, O.D.

  • Optometrist
  • La Grange, IL
National Provider Identifier
1477523504
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0046007449 Issued in IL
Practice address
100 Calendar CT
La Grange, IL 60525-2325
Phone
(708) 354-0500
Fax
(708) 354-0576
NPI assigned
Jan 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0046007449 IL Primary

Addresses

Primary practice location

100 Calendar CT
La Grange, IL 60525-2325

Mailing address

100 Calendar CT
La Grange, IL 60525-2325
Phone (708) 354-0500

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0046007449ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Thomas S Flach and Associates PastSince Dec 9, 2013 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477523504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CALENDAR CT",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252325",
            "telephone_number": "708-354-0500",
            "fax_number": "708-354-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CALENDAR CT",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252325",
            "telephone_number": "708-354-0500",
            "fax_number": "708-354-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWCOME-SPARKS",
        "first_name": "CAROLYN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "0046007449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.