Scott L Spivey, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODT1599 Issued in TN

Practice address

45 Hospital Dr
MC Kenzie, TN 38201-1636

Phone

(731) 352-2473

Fax

(731) 352-9610

NPI assigned

Oct 20, 2005

Last updated

Jul 21, 2022By the provider in NPPES

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

Specialty

Optometry

Education

Southern College of Optometry, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spivey Eye ClinicGroup PAC ID 1456496967, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

10.83 of 100Reported as individual

Quality

21.67

Improvement activities

0

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spivey Eye Clinic

  • Optometrist
  • McKenzie, TN
  • NPI 1720207343
  Medicare reassignment Care Compare group NPD
• McKenzie Medical Center PC

  dba Hometown Health Clinic

  • Rural Health Clinic/Center
  • McKenzie, TN
  • NPI 1477516953

  Optometrist

  NPD

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1861481095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 HOSPITAL DR",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "382011636",
            "telephone_number": "731-352-2473",
            "fax_number": "731-352-9610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 HOSPITAL DR",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "382011636",
            "telephone_number": "731-352-2473",
            "fax_number": "731-352-9610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Hospital Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Mc Kenzie",
            "state": "TN",
            "postal_code": "382011649",
            "country_code": "US",
            "telephone_number": "731-352-7907",
            "fax_number": "731-352-4459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPIVEY",
        "first_name": "SCOTT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "ODT1599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3599558",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Thomas Smith, O.D.
• Thomas K Smith, OD
• Spirit Lake Recovery, LLC
• Spivey Eye Clinic
• Aaron L Spivey III, OD
• April Marie Stoddard, P.A.C.
• Jennifer Sturm, ATC
• Daniel David Sumrok, M.D.
• T H Smith OD and Thomas K Smith OD PC
• Tester Chiropractic, PLLC (One Chiropractic)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.