Individual provider Active NPI

Nehemiah Ebenezer Spencer, M.D.

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Stuart, FL
National Provider Identifier
1528219292
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X
License
ME104681 Issued in FL
Practice address
915 SE Ocean Blvd Ste 2
Stuart, FL 34994-2426
Phone
(772) 249-1038
Fax
(772) 214-3019
NPI assigned
Sep 30, 2008
Last updated
Oct 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME104681 FL
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X ME104681 FL Primary

Addresses

Primary practice location

915 SE Ocean Blvd Ste 2
Stuart, FL 34994-2426

Mailing address

915 SE Ocean Blvd Ste 2
Stuart, FL 34994-2426
Phone (772) 249-1038

Other identifiers 1

IdentifierTypeStateIssuer
0013809-00MedicaidFL

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME104681FLMDPediatric Ophthalmology and Strabismus Specialist Physician Physician

Interoperability endpoints

  • Direct secure messaging: drspencer@kidseyedr.direct.eyemdemr.com

NPI Registry JSON

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1528219292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 SE OCEAN BLVD STE 2",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942426",
            "telephone_number": "772-249-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 SE OCEAN BLVD STE 2",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942426",
            "telephone_number": "772-249-1038",
            "fax_number": "772-214-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "NEHEMIAH",
        "middle_name": "EBENEZER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-30",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME104681",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "FL",
            "license": "ME104681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0013809-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; 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.