Spencer Eye Care LTD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.008177 Issued in IL

Legal business name

SPENCER EYE CARE LTD

Practice address

4949 W Irving Park Rd
Suite E
Chicago, IL 60641-2655

Phone

(773) 237-4774

Fax

(773) 202-9909

NPI assigned

Apr 24, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mark David Spencer, O.D.NPI 1841385267

Title

Owner

Phone

(773) 237-4774

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark David Spencer, OD

  • Optometrist
  • Chicago, IL
  • NPI 1841385267
  NPD (past) Authorized official
• Laura Marie Blount-Odum, O.D.

  • Optometrist
  • Chicago, IL
  • NPI 1043306889
  NPD (past)

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1780859306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 W IRVING PARK RD",
            "address_2": "SUITE E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412655",
            "telephone_number": "773-237-4774",
            "fax_number": "773-202-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 W IRVING PARK RD",
            "address_2": "SUITE E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412655",
            "telephone_number": "773-237-4774",
            "fax_number": "773-202-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCER EYE CARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-237-4774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.008177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046008177",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Spellman
• Monique Spells, LSW
• Meghan Marie Speltz, M.ED., LCPC, CADC
• Olivia L Spence, LCSW
• Spencer E. Biel, Psy.D., P.C.
• Andrea Elise Spencer, MD
• Brook Spencer, CNA
• Cynthia Spencer
• Denice L Spencer, LCPC
• Devon Ameden Spencer, LMFT

• Optometrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.