Georgia Leann Spangenberg, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OE007523T Issued in PA

Practice address

195 N West End Blvd
Quakertown, PA 18951-2306

Phone

(215) 529-7948

NPI assigned

Jun 5, 2007

Last updated

Apr 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aeg Texas Professional PLLCGroup PAC ID 4486985678, 228 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aeg Texas Professional PLLC

  • Optometrist
  • Kerrville, TX
  • NPI 1457905937
  Medicare reassignment Care Compare group NPD
• William L Aston OD and Melissa a Aston OD PC

  dba Eagle Ranch Vision Source

  • Optometrist
  • Fort Worth, TX
  • NPI 1558561605
  NPD (past)

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1922201375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 BOAT CLUB RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761794555",
            "telephone_number": "925-481-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 N WEST END BLVD",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189512306",
            "telephone_number": "215-529-7948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANGENBERG",
        "first_name": "GEORGIA",
        "middle_name": "LEANN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE007523T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emilio M. Socci, COSMETOLOGY TEACHER
• Aleena Somy
• Leah Sonntag
• Craig A Soskin
• Danielle Louise Spadafora, FNP-BC
• Jennifer Rachel Sparks, D.O.
• David Spivak, M.S., CCC/SLP
• Jay Mark Springer, MD
• St Lukes Emergency & Transport Services, Inc (Lifestar)
• St Lukes Quakertown Hospital (St Lukes Quakertown Out-Patient Nutrition Services)

• Optometrist in Quakertown, PA
• Providers in Quakertown, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.