Active NPI
Alyssa Spalding, O.D.
- Optometrist
- Ooltewah, TN
National Provider Identifier
1699173104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3215
- Practice address
- 5588 Little Debbie Pkwy
Ooltewah, TN 37363-4356 - Phone
- (423) 490-9173
- Fax
- (423) 760-3061
- NPI assigned
- Dec 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3215 | TN | Primary |
Addresses
Primary practice location
5588 Little Debbie Pkwy
Ooltewah, TN 37363-4356
Mailing address
3536 Morning Dew CV
Apison, TN 37302-2500
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3215 | TN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445990400000",
"number": "1699173104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3536 MORNING DEW CV",
"city": "APISON",
"state": "TN",
"postal_code": "373022500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5588 LITTLE DEBBIE PKWY",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373634356",
"telephone_number": "423-490-9173",
"fax_number": "423-760-3061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPALDING",
"first_name": "ALYSSA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-15",
"last_updated": "2015-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "3215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ooltewah, TN
- Joel S Smith, NP
- Mary Emily Sockwell
- Solutions Pharmacy Inc
- Southeastern Swallowing Diagnostics
- Spalding Eye Care, LLC
- Specialists in Pain Management, PLLC Dba Spine & Pain Associates
- Spine and Joint Regenerative Medicine PC
- Spine Chiropractic, PLLC
- Amelia Spinosa Barrios, MSPT
- Ian Noble Stanaway, MPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.