Active NPI
Judith Uptegraff Spaeth, O.D.
- Optometrist
- Whitsett, NC
National Provider Identifier
1821139965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0896
- Practice address
- 6611 Burlington Rd
Whitsett, NC 27377-9748 - Phone
- (336) 449-1333
- Fax
- (336) 449-1348
- NPI assigned
- Feb 10, 2007
- 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 | 0896 | NC | Primary |
Addresses
Primary practice location
6611 Burlington Rd
Whitsett, NC 27377-9748
Mailing address
6611 Burlington Rd
Whitsett, NC 27377-9748
Phone (336) 449-1333
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09853 | Other | NC | BCBS |
| 5910125 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0896 | NC | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287705600000",
"number": "1821139965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6611 BURLINGTON RD",
"city": "WHITSETT",
"state": "NC",
"postal_code": "273779748",
"telephone_number": "336-449-1333",
"fax_number": "336-449-1348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6611 BURLINGTON RD",
"city": "WHITSETT",
"state": "NC",
"postal_code": "273779748",
"telephone_number": "336-449-1333",
"fax_number": "336-449-1348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPAETH",
"first_name": "JUDITH",
"middle_name": "UPTEGRAFF",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-10",
"last_updated": "2010-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "0896",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "09853",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5910125",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Whitsett, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.