Individual provider Active NPI

Christina Marie Spelich

  • Optometrist
  • Seminole, FL
National Provider Identifier
1881186740
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5536 Issued in FL
Practice address
7855 113TH St Ste a
Seminole, FL 33772-4672
Phone
(727) 317-6174
NPI assigned
Jun 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5536 FL Primary

Addresses

Primary practice location

7855 113TH St Ste a
Seminole, FL 33772-4672

Mailing address

7855 113TH St Ste a
Seminole, FL 33772-4672
Phone (727) 317-6174

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20191209001204 FL Practitioner - Optometry 3678906419 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pearle Capstone Eye Associates PLLCGroup PAC ID 1951777929, 5 clinicians

Practice addresses (Care Compare)

7855 113TH St
Suite a
Seminole, FL 33772-4672
Phone (727) 317-6174

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OPC5536FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pearle Capstone Eye Associates, PLLC Optometrist CurrentSince Oct 5, 2024 Accepting new patients
B&B Florida Eye Care PLLC Optometrist CurrentSince Nov 1, 2019 Accepting new patients

Locations

13555 Highway 54
Ste C
Odessa, FL 33556
Phone (813) 454-0670

7855 113th St
Ste A
Seminole, FL 33772
Phone (727) 317-6174

510 E Memorial Rd
Ste A4
Oklahoma City, OK 73114
Phone (405) 777-4726

1601 NW Expressway
Ste 1420
Oklahoma City, OK 73118

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1881186740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7855 113TH ST STE A",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337724672",
            "telephone_number": "727-317-6174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 113TH ST STE A",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337724672",
            "telephone_number": "727-317-6174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPELICH",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, FL

Sources for this page

Verify at the official NPI Registry.