Spivey Eye Clinic

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SPIVEY EYE CLINIC

Practice address

45 Hospital Dr
MC Kenzie, TN 38201-1636

Phone

(731) 352-2473

Fax

(731) 352-9685

NPI assigned

Apr 24, 2007

Last updated

Feb 5, 2008By 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. Aaron L Spivey III, O.D.NPI 1114916590

Title

Optometrist

Phone

(731) 352-2473

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 3

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.

• Brooke Spivey Burress, OD

  • Optometrist
  • McKenzie, TN
  • NPI 1962178640
  Medicare reassignment Care Compare group NPD
• Scott L Spivey, OD

  • Optometrist
  • McKenzie, TN
  • NPI 1861481095
  Medicare reassignment Care Compare group NPD
• Aaron L Spivey III, OD

  • Optometrist
  • McKenzie, TN
  • NPI 1114916590
  Authorized official Same address or phone

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1720207343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 520",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "382010520",
            "telephone_number": "731-352-2473",
            "fax_number": "731-352-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 HOSPITAL DR",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "382011636",
            "telephone_number": "731-352-2473",
            "fax_number": "731-352-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIVEY EYE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "SPIVEY",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "731-352-2473",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3599558",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Faye Smith, PTA
• Emily Elaine Smith, MS, CCC-SLP
• Mark Thomas Smith, O.D.
• Thomas K Smith, OD
• Spirit Lake Recovery, LLC
• Aaron L Spivey III, OD
• Scott L Spivey, OD
• April Marie Stoddard, P.A.C.
• Jennifer Sturm, ATC
• Daniel David Sumrok, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.