David Spangler, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD1485 Issued in TN

Practice address

1008 Indian Trail Dr
Kingsport, TN 37660-4623

Phone

(423) 247-2020

Fax

(423) 246-2396

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr. Mark Lynn & Associates, PLLC

  • Optometrist
  • Franklin, TN
  • NPI 1194739490
  Medicare reassignment NPD
• TN Doctors of Optometry, PLLC

  • Optometrist
  • Collierville, TN
  • NPI 1538827050
  Medicare reassignment NPD
• TN Doctors of Optometry, PLLC

  • Eyewear Supplier
  • Kingsport, TN
  • NPI 1275299562

  Optometrist

  NPD
• Ky Doctors of Optometry, PLLC

  • Eyewear Supplier
  • St Matthews, KY
  • NPI 1801610985

  Optometrist

  NPD

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1841361391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11103 WEST AVE",
            "address_2": "SUITE 6",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131370",
            "telephone_number": "210-524-6663",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 INDIAN TRAIL DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604623",
            "telephone_number": "423-247-2020",
            "fax_number": "423-246-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANGLER",
        "first_name": "DAVID",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD1485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3599549",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dale E Solomon, MD
• Sachdev Somiah, M.D.
• Sarah Collins Southard, MS, MFT
• Southeastern Retina Associates, P.C.
• Southern Orthotics & Prosthetics
• David A. Sparks, M.D.
• Specialty Respiratory Services, LLC
• Specks 'N Shades Vision Center Inc.
• Gina Spence-Brown, FNP
• Andrew P. Spillett, M.D.

• Optometrist in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.