Douglas C Spyrison, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1760 Issued in IA

Practice address

1705 Delhi St
Dubuque, IA 52001-5934

Phone

(563) 588-4651

Fax

(563) 557-1073

NPI assigned

Sep 29, 2005

Last updated

Jun 2, 2008By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Douglas C. Spyrison, OD

  • Clinic/Center
  • Dubuque, IA
  • NPI 1285992362
  NPD (past) Authorized official
• Klauer Optical Co

  • Eyewear Supplier
  • Dubuque, IA
  • NPI 1902940166
  NPD (past)

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1871580498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 DELHI ST",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520015934",
            "telephone_number": "563-588-4651",
            "fax_number": "563-557-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 DELHI ST",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520015934",
            "telephone_number": "563-588-4651",
            "fax_number": "563-557-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPYRISON",
        "first_name": "DOUGLAS",
        "middle_name": "C",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "1760",
            "primary": true
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "IA",
            "license": "1760",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0185975",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Todd Charles Spurling, DC
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• Optometrist in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.