Nicole Sparks, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004890 Issued in MI

Practice address

136 S Main St
Eaton Rapids, MI 48827-1068

Phone

(517) 663-2020

NPI assigned

Jul 11, 2015

Last updated

Aug 9, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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 MI

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

Ferris State College - College of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Center for Sight PCGroup PAC ID 6507899952, 5 clinicians

Eaton Rapids Eye Care PCGroup PAC ID 1254431141, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nicole.sparks@direct.revolutionehr.com

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.

• Eaton Rapids Eye Care PC

  • Optometrist
  • Eaton Rapids, MI
  • NPI 1861611626
  Medicare reassignment Care Compare group NPD
• The Center for Sight, P.C.

  dba The Center For Sight

  • Specialist
  • Jackson, MI
  • NPI 1346230554

  Optometrist

  Medicare reassignment Care Compare group NPD
• The Center for Sight P.C.

  • Specialist
  • Jackson, MI
  • NPI 1083847776

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1436572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1942684709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 S MAIN ST",
            "city": "EATON RAPIDS",
            "state": "MI",
            "postal_code": "488271068",
            "telephone_number": "517-663-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 S MAIN ST",
            "city": "EATON RAPIDS",
            "state": "MI",
            "postal_code": "488271068",
            "telephone_number": "517-663-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-11",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rick Adam Schuster, PT, DPT
• Carly A Secord, RD
• Jessica Mae Seguin, CCC-SLP
• Diane Jill Shawa, CPHT
• Joseph John Sheneman, D.C.
• Specialists in Blood Pressure and Kidney Disease PLLC
• Laura Squier, OTRL
• Starr Transitions MHT LLC
• Brianna Sullivan
• Susan L. Courtnage, MD, PC

• Optometrist in Eaton Rapids, MI
• Providers in Eaton Rapids, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; 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.