Active NPI
John Matthew Spalding, O.OD
- Optometrist
- Orlando, FL
National Provider Identifier
1740254762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3177
- Practice address
- 5201 Raymond St
Orlando, FL 32803-8208 - Phone
- (407) 629-1599
- Fax
- (407) 599-1340
- NPI assigned
- Feb 15, 2006
- Sex
- Male
- 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 | 3177 | FL | Primary |
Addresses
Primary practice location
5201 Raymond St
Orlando, FL 32803-8208
Mailing address
1718 Majestic Oak Dr
Apopka, FL 32712-2528
Phone (407) 886-1783
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240723000831 | FL | Order and Referring Only - Optometry | 0446687842 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3177 | FL | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184630400000",
"number": "1740254762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1718 MAJESTIC OAK DR",
"city": "APOPKA",
"state": "FL",
"postal_code": "327122528",
"telephone_number": "407-886-1783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 RAYMOND ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328038208",
"telephone_number": "407-629-1599",
"fax_number": "407-599-1340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPALDING",
"first_name": "JOHN",
"middle_name": "MATTHEW",
"credential": "O.OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2007-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "3177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.