Active NPI
Chelsea Spalding, O.D.
- Optometrist
- Port Charlotte, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 5038
- Practice address
- 21275 Olean Blvd
Port Charlotte, FL 33952-6704 - Phone
- (941) 625-1325
- NPI assigned
- Jul 27, 2014
- 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 | OPC 5038 | FL | Primary |
Addresses
Primary practice location
21275 Olean Blvd
Port Charlotte, FL 33952-6704
Mailing address
21275 Olean Blvd
Port Charlotte, FL 33952-6704
Phone (941) 625-1325
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1245 Madison Ave
Memphis, TN 38104-2211
Phone (901) 722-3385
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3805 | TN | MD | Professional Counselor |
| OPC 5038 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern College of Optometry | Optometrist | Current | Accepting new patients |
| Southern College of Optometry | Optometrist | Past | Accepting new patients |
Locations
1350 Concourse Ave
Ste 264
Memphis, TN 38104
Phone (901) 252-3670
212 Rawlins Service Ct
Memphis, TN 38152
Phone (901) 252-3697
1245 Madison Ave
Memphis, TN 38104
Phone (901) 722-3250
Interoperability endpoints
- drspalding@cec.direct.eyemdemr.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Memphis, TN
- NPI 1851384986
-
- Optometrist
- Memphis, TN
- NPI 1518309202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619049600000",
"number": "1790193399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21275 OLEAN BLVD",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339526704",
"telephone_number": "941-625-1325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21275 OLEAN BLVD",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339526704",
"telephone_number": "941-625-1325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPALDING",
"first_name": "CHELSEA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-27",
"last_updated": "2021-04-22",
"certification_date": "2021-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 5038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
- Southwest Florida Spine Institute PLLC
- Southwest Physical Therapy & Rehabilitation Inc
- Southwest Psychotherapy and Counseling Center Inc
- Sovi Joseph MD PA
- Joseph William Spadafora, D.O.
- Lewis Douglas Spangler, M.D.
- David Stephen Sparrow
- Jason Spears, D.D.S.
- Special Care Transportation LLC
- Special Needs Ride With Ease & Horses for Our Heroes
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.
- 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.