Shane Spittler, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1105 Issued in SC

Practice address

1530 Chestnut St
Orangeburg, SC 29115-3426

Phone

(803) 535-2000

NPI assigned

Nov 17, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Practice roles

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.

• Orangeburg Optometric LLC

  • Optometrist
  • Orangeburg, SC
  • NPI 1992874671
  NPD (past) Authorized official
• East Coast Optometric, Inc.

  • Optometrist
  • Camden, SC
  • NPI 1558448001
  NPD (past)

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1528040243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 CHESTNUT ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291153426",
            "telephone_number": "803-535-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 CHESTNUT ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291153426",
            "telephone_number": "803-535-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPITTLER",
        "first_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D11057",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Carolina Surgical PA
• Susan South, RN
• Southern Care, Inc.
• Jessica Shawnta Spencer, LMSW
• Kimberly Spires, FNP-C
• Sports Plus
• Karen Stacks
• Melvin Stanaway, CRNA
• Charles T Staples Jr., MD
• Leslie Starks

• Optometrist in Orangeburg, SC
• Providers in Orangeburg, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.