Keith B Sparkman

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

KEITH B SPARKMAN

Doing business as

Spring Creek Eye Center

Practice address

1013 Spring Creek Rd
Chattanooga, TN 37412-3971

Phone

(423) 855-8288

Fax

(423) 855-4527

NPI assigned

Jun 28, 2007

Last updated

Jan 6, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Keith B SparkmanNPI 1700949989

Title

Owner

Phone

(423) 855-8288

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Spring Creek Eye Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keith Brian Sparkman, OD

  • Optometrist
  • Chattanooga, TN
  • NPI 1700949989
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1548467194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 SPRING CREEK RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374123971",
            "telephone_number": "423-855-8288",
            "fax_number": "423-855-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 SPRING CREEK RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374123971",
            "telephone_number": "423-855-8288",
            "fax_number": "423-855-4527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH B SPARKMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "SPARKMAN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-855-8288",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "3599732",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH",
            "identifier": "2240306",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3088639",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Creek Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deanna Keeton
• Roberta Keeton, PHARM.D.
• Linnea Kehm, SLP-CCC
• Claire Keiser
• Sandra Keisling, L.P.N.
• Ashley D Keith, CRNA
• Lisa Keith
• Mary Keith
• Callie Kell, M.A., NCC
• Carol Kell, LPN

• Optometrist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.