Organization Active NPI

Dr. Frank W. Spaeth

  • Optometrist
  • Whitsett, NC
National Provider Identifier
1598831950
Registry record updated Sep 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0895 Issued in NC
Legal business name
DR. FRANK W. SPAETH
Practice address
6611 Burlington Rd
Whitsett, NC 27377-9748
Phone
(336) 449-1333
Fax
(336) 449-1348
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2013

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

Authorized official

Name
Dr. Frank William Spaeth, O.D.
Title
Owner
Phone
(336) 449-1333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0895 NC Primary

Addresses

Primary practice location

6611 Burlington Rd
Whitsett, NC 27377-9748

Mailing address

6611 Burlington Rd
Whitsett, NC 27377-9748
Phone (336) 449-1333

Other identifiers 2

IdentifierTypeStateIssuer
019HNOtherNCBCBS
5950490MedicaidNC

Other names 1

  • BRIGHTWOOD EYE CENTER Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378684800000",
    "number": "1598831950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6611 BURLINGTON RD",
            "city": "WHITSETT",
            "state": "NC",
            "postal_code": "273779748",
            "telephone_number": "336-449-1333",
            "fax_number": "336-449-1348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6611 BURLINGTON RD",
            "city": "WHITSETT",
            "state": "NC",
            "postal_code": "273779748",
            "telephone_number": "336-449-1333",
            "fax_number": "336-449-1348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. FRANK W. SPAETH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2013-09-09",
        "status": "A",
        "authorized_official_last_name": "SPAETH",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-449-1333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "0895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "019HN",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5950490",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRIGHTWOOD EYE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whitsett, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.