Patrick L Spencer DO, Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

PATRICK L SPENCER DO, INC

Practice address

425 W Grand Ave
Ste 1002
Dayton, OH 45405-4775

Phone

(937) 226-7870

Fax

(937) 226-7829

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

Patrick L Spencer, D.O.NPI 1861494304

Title

Owner

Phone

(937) 226-7870

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick L Spencer, D.O.

  • Ophthalmology Physician
  • Dayton, OH
  • NPI 1861494304
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1922051168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W GRAND AVE",
            "address_2": "STE 1002",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454054775",
            "telephone_number": "937-226-7870",
            "fax_number": "937-226-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W GRAND AVE",
            "address_2": "STE 1002",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454054775",
            "telephone_number": "937-226-7870",
            "fax_number": "937-226-7829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK L SPENCER DO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-226-7870",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2879470",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tarun Patel, D.O
• Vipul V Patel, MD
• Path to Tranquility Counseling Services LLC
• Jenna Pathadan, D.O.
• Pathways Provider LLC
• Patrick R McCreary Inc.
• Christopher Patrick
• Joseph H Patrick, DO
• Teressa J Patrick, MD
• Tyetta Patrick

• Ophthalmology Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.