Individual provider Active NPI

Jasmine Spencer, OD

  • Optometrist
  • Huntsville, AL
National Provider Identifier
1891311817
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-E56-TA-B81 Issued in AL
Practice address
3030 Memorial Pkwy SW
Huntsville, AL 35801-5372
Phone
(256) 883-8338
NPI assigned
Jun 25, 2020
Last updated
Jan 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-E56-TA-B81 AL Primary

Addresses

Primary practice location

3030 Memorial Pkwy SW
Huntsville, AL 35801-5372

Mailing address

208 Properzi Way SW
Huntsville, AL 35824-2945

Other practice location 1

105 Brookridge Dr Ste F
Madison, AL 35758-7577
Phone (256) 325-9465

Other practice location 2

646 Cox Creek Pkwy Ste A
Florence, AL 35630-1189
Phone (256) 760-1771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20240429000581 AL Practitioner - Optometry 5597105262 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florence Ophthalmology LLCGroup PAC ID 7911924238, 6 clinicians

Practice addresses (Care Compare)

646 Cox Creek Pkwy
Suite a
Florence, AL 35630-1189
Phone 2567601771105

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-E56-TA-B81ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Alabama, LLC Optometrist CurrentSince Apr 16, 2024 Accepting new patients
Eyelove Eyecare Optometrist CurrentSince May 16, 2021 Accepting new patients
Myeyedr Optometry of Alabama LLC Optometrist CurrentSince Apr 16, 2024 Accepting new patients
Myeyedr Optometry of Alabama LLC Optometrist Current Accepting new patients
Florence Ophthalmology LLC CurrentSince Mar 1, 2025 Accepting new patients
Florence Ophthalmology LLC CurrentSince Mar 1, 2025 Accepting new patients
America's Best Contacts & Eyeglasses PastSince Jan 17, 2022 Accepting new patients

Locations

3431 Colonnade Pkwy
Ste 100
Birmingham, AL 35243
Phone (205) 967-2020

646 Cox Creek Pkwy
Ste A
Florence, AL 35630
Phone (256) 760-1771

3030 Memorial Pkwy SW
Huntsville, AL 35801
Phone (256) 883-8338

105 Brookridge Dr
Ste F
Madison, AL 35758
Phone (256) 325-9465

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1891311817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 PROPERZI WAY SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358242945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 MEMORIAL PKWY SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015372",
            "telephone_number": "256-883-8338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Brookridge Dr Ste F",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357587577",
            "country_code": "US",
            "telephone_number": "256-325-9465",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "646 Cox Creek Pkwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "AL",
            "postal_code": "356301189",
            "country_code": "US",
            "telephone_number": "256-760-1771",
            "fax_number": "256-760-9149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "JASMINE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-25",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-E56-TA-B81",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.