Spex LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

50731T1950 Issued in OH

Legal business name

SPEX LLC

Practice address

102 Wilson Ave
Circleville, OH 43113-1243

Phone

(740) 420-3900

Fax

(740) 420-2992

NPI assigned

May 29, 2008

Organization subpart

No

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

Authorized official

Name

Jocelyn Kay Gibson, OD

Title

Owner

Phone

(740) 420-3900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1821256645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WILSON AVE",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131243",
            "telephone_number": "740-420-3900",
            "fax_number": "740-420-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WILSON AVE",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131243",
            "telephone_number": "740-420-3900",
            "fax_number": "740-420-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-420-3900",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "50731T1950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2496571",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Circleville, OH
• Providers in Circleville, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; 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.