Active NPI
Michele L Spooner, OD
- Optometrist
- Jenkintown, PA
National Provider Identifier
1699811877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG001687
- Practice address
- 510 West Ave
Jenkintown, PA 19046-2725 - Phone
- (215) 884-8419
- Fax
- (215) 884-8127
- NPI assigned
- Jan 29, 2007
- Last updated
- Jan 6, 2017
- Sex
- Female
- Sole proprietor
- No
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 | OEG001687 | PA | Primary |
Addresses
Primary practice location
510 West Ave
Jenkintown, PA 19046-2725
Mailing address
821 Huntingdon Pike
Ste 200
Huntingdon Valley, PA 19006-8372
Phone (215) 884-8419
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483660800000",
"number": "1699811877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 HUNTINGDON PIKE",
"address_2": "STE 200",
"city": "HUNTINGDON VALLEY",
"state": "PA",
"postal_code": "190068372",
"telephone_number": "215-884-8419",
"fax_number": "215-884-8127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 WEST AVE",
"city": "JENKINTOWN",
"state": "PA",
"postal_code": "190462725",
"telephone_number": "215-884-8419",
"fax_number": "215-884-8127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPOONER",
"first_name": "MICHELE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2017-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG001687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jenkintown, PA
- Michael Andrew Speesler
- Philip Spergel, ED.D
- Matthew Spiegler, PT
- Scott R. Spielman, M.D.
- Larysa Olenka Spisic, MS, OTR/L
- Zakiyah Sproul
- Sri Psychological Services, PC (SRI Psychological Services)
- St. Christopher's Pediatric Urgent Care Center LLC
- Sheila Ruth Staley, M.ED.
- Mindy Staller, M.A., CCC-A
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.