Larry Neil Spector, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1024 Issued in CT

Practice address

1044 Chapel St
New Haven, CT 06510-2434

Phone

(203) 787-7111

Fax

(203) 787-3512

NPI assigned

Dec 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

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 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760543060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 FOREST STREET EXT",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065182714",
            "telephone_number": "203-787-7111",
            "fax_number": "203-787-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 CHAPEL ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065102434",
            "telephone_number": "203-787-7111",
            "fax_number": "203-787-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPECTOR",
        "first_name": "LARRY",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "1024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004053054",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marisa Nicole Spann, PHD
• Devika Dhandapani Sparks, MD
• Charles Melvyn Spatz, DMD
• Erica Sarah Spatz, M.D.
• Richard Spears
• Marcelo Spector, MD
• Fallon Marie Speers
• Morgen Spees, DO
• Karl B Speirs, MS MA LMFT
• Michael Spektor

• Optometrist in New Haven, CT
• Providers in New Haven, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.