Carl H Spear, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC2919 Issued in FL

Practice address

5101 N Davis Hwy
Suite a
Pensacola, FL 32503-2034

Phone

(850) 479-7379

Fax

(850) 497-6219

NPI assigned

Oct 4, 2005

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 2

Medicare fee-for-service enrollment

Enrolled in FL

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

University Alabama Birmingham - School of Optometry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fort Walton Beach Vision Center LLCGroup PAC ID 5991190407, 4 clinicians

Vision Hub LLCGroup PAC ID 7214330786, 7 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Eye Care Physicians Inc

  • Ophthalmology Physician
  • Pensacola, FL
  • NPI 1942295514
  Medicare reassignment NPD Authorized official
• Fort Walton Beach Vision Center LLC

  • Optometrist
  • Fort Walton Beach, FL
  • NPI 1225706112
  Medicare reassignment Care Compare group NPD
• The Vision Hub LLC

  • Optometrist
  • Defuniak Springs, FL
  • NPI 1720652316
  Medicare reassignment Care Compare group NPD
• Freeport Vision Center LLC

  • Optometrist
  • Freeport, FL
  • NPI 1417625310
  Medicare reassignment NPD
• Sight and Sun Eyeworks LLC

  • Optometrist
  • Pensacola, FL
  • NPI 1932359106
  Medicare reassignment
• Panhandle Cataract and Laser Institute LLC

  • Specialist
  • Pensacola, FL
  • NPI 1245611268

  Optometrist

  NPD (past) Authorized official
• Panhandle Vision Group Inc

  • Specialist
  • Pensacola, FL
  • NPI 1104295484

  Optometrist

  NPD (past) Authorized official
• Cataract Vision Institute Flordia

  • Ophthalmology Physician
  • West Palm Beach, FL
  • NPI 1750814117

  Optometrist

  NPD
• Apex Eyecare

  • Ophthalmology Physician
  • Defuniak Springs, FL
  • NPI 1366384562
  NPD (past)
• Sight and Sun Eyeworks Tallahassee Inc

  • Optometrist
  • Tallahassee, FL
  • NPI 1942572565
  NPD (past)

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501804800000",
    "number": "1871580944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 N DAVIS HWY",
            "address_2": "SUITE A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032034",
            "telephone_number": "850-479-7379",
            "fax_number": "850-497-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 N DAVIS HWY",
            "address_2": "SUITE A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032034",
            "telephone_number": "850-479-7379",
            "fax_number": "850-497-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEAR",
        "first_name": "CARL",
        "middle_name": "H",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2017-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620176800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BLUE",
            "identifier": "20675",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Leigh Spann, LCSW
• Cheri Lynn Sparks, PH.D.
• Dana Sparks, PA-C, ATC
• Tami Sparks
• Jordan Matthew Spatz, MD, PHD
• Lauren Vaughn Specht, PA-C
• Specialty Operating Investments LLC
• Specialty Vehicles Southeast, Inc
• Speck Endodontics, LLC
• Stephen Haines Speck Sr., D.D.S.

• Optometrist in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2017; 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.