Lois A Spangler, O.D.
Individual provider Active NPI Optometrist · Delphos, OH
NPI 1831230002 · NPPES record last updated Oct 3, 2008
Key facts
- NPI
- 1831230002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 4625OH (OH)
- Practice address
- 134 E 3Rd St
Delphos, OH 45833-1761 - Phone
- (419) 690-0010
- Fax
- (419) 692-4533
- NPI assigned
- Feb 9, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
134 E 3Rd St
PO Box 159
Delphos, OH 45833-0159
Phone (419) 692-0010
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 40 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100818000033 | OH | Practitioner - Optometry | 9335273986 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4625OH | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miller Optometrists Inc | Optometrist | Current |
Accepting new patients |
Locations
134 E 3rd St
Delphos, OH 45833
Phone (419) 690-0010
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4625OH | OH | Yes |
Addresses
Primary practice location
134 E 3Rd St
Delphos, OH 45833-1761
Mailing address
134 E 3Rd St
Delphos, OH 45833-1761
Phone (419) 690-0010
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000125822 | Other | ND | ANTHEM |
| 0157888 | Medicaid | OH |
Other providers in Delphos, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.