Individual provider Active NPI

Joe Douglas Springston, O.D.

  • Optometrist
  • Huntingburg, IN
National Provider Identifier
1891833679
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18001629A Issued in IN
Practice address
303 13TH St
Huntingburg, IN 47542-9269
Phone
(812) 683-4443
Fax
(812) 683-5409
NPI assigned
Feb 2, 2007
Last updated
Dec 10, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18001629A IN Primary

Addresses

Primary practice location

303 13TH St
Huntingburg, IN 47542-9269

Mailing address

PO Box 360
Huntingburg, IN 47542-0360
Phone (812) 683-4443

Other identifiers 1

IdentifierTypeStateIssuer
100109200MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18001629AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Talley Medical-Surgical Eye Care Associates PC Optometrist CurrentSince Mar 1, 2020 Accepting new patients

Locations

303 E 13th St
Huntingburg, IN 47542
Phone (812) 683-4443

Organizations & group practices 1

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": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260403200000",
    "number": "1891833679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360",
            "city": "HUNTINGBURG",
            "state": "IN",
            "postal_code": "475420360",
            "telephone_number": "812-683-4443",
            "fax_number": "812-683-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 13TH ST",
            "city": "HUNTINGBURG",
            "state": "IN",
            "postal_code": "475429269",
            "telephone_number": "812-683-4443",
            "fax_number": "812-683-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRINGSTON",
        "first_name": "JOE",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2009-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001629A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100109200",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.