Individual provider Active NPI

Michael David Spanfelner, O.D.

  • Optometrist
  • Oroville, CA
National Provider Identifier
1669586541
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10240T Issued in CA
Practice address
1550 Myers St
Ste a
Oroville, CA 95965-4689
Phone
(530) 533-6604
Fax
(530) 533-6568
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10240T CA Primary

Addresses

Primary practice location

1550 Myers St
Ste a
Oroville, CA 95965-4689

Mailing address

1550 Myers St
Ste a
Oroville, CA 95965-4689
Phone (530) 533-6604

Other identifiers 3

IdentifierTypeStateIssuer
P00479427OtherCAMEDICARE RAILROAD CARRIER
ZZZ55000YOtherCABLUE SHIELD OF CALIFORNIA
GSD001930MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080424000796 CA Practitioner - Optometry 4385722743 Reassigns benefits to 1 organization
O20100930012380 CA DME Supplier - Physician - Optometrist 7113005570 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Oroville, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rocchi and Spanfelner OptometristsGroup PAC ID 7113005570, 3 clinicians

Practice addresses (Care Compare)

1550 Myers St
Suite a
Oroville, CA 95965-4689
Phone (530) 533-6604

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10240TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rocchi and Spanfelner Optometrists Optometrist CurrentSince Sep 1, 2007 Accepting new patients

Locations

1550 Myers St
Ste A
Oroville, CA 95965
Phone (530) 533-6604

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1669586541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 MYERS ST",
            "address_2": "STE A",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959654689",
            "telephone_number": "530-533-6604",
            "fax_number": "530-533-6568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 MYERS ST",
            "address_2": "STE A",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959654689",
            "telephone_number": "530-533-6604",
            "fax_number": "530-533-6568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANFELNER",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10240T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD CARRIER",
            "identifier": "P00479427",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "ZZZ55000Y",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD001930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oroville, CA

Sources for this page

Verify at the official NPI Registry.