CRAIG SPELKE (NPI# 1558845396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558845396 |
| Entity Type | Individual |
| Full Name | CRAIG SPELKE |
| Credential | OD |
| Practice Address |
11823 Farmland Dr Rockville MD 20852-4303 |
| Practice Telephone | 3014427567 |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2018-09-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 0618002687 | VA | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | OP1000389 | DC | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | TA2648 | MD | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | VIRGINIA OPTOMETRY LICENSE | 0618002687 | 01 |
| MD | MARYLAND OPTOMETRY LICENSE NUMBER | TA2648 | 01 |
| DC | DC OPTOMETRY LICENSE | OP1000389 | 01 |
| Street Address |
11823 FARMLAND DR |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20852-4303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740811249 | Christina L. Cervieri Md LLC | Orthopaedic Surgery | Adventist Healthcare Shady Grove Medical Center, 9901 Medical Center Dr, Rockville, MD 20852 | 2020-02-03 |
| 1073161253 | Center for Transformative Care | Clinic/Center | 11140 Rockville Pike, #303, Rockville, MD 20852 | 2019-08-30 |
| 1073160388 | Robin Burgess | Nurse Practitioner | 11750 Old Georgetown Rd Unit 2410, Rockville, MD 20852 | 2019-08-21 |
| 1548722309 | Anne Alexandre | Home Health Aide | 1600 Nebel St, Bethesda, MD 20852 | 2019-04-02 |
| 1043794464 | Jeanne Marie Pantalone | Social Worker | 263 Congressional Lane Apt 605, Rockville, MD 20852 | 2018-09-21 |
| 1538640107 | Jessica Kay Foos | Occupational Therapy Assistant | Hebrew Home of Greater Washington, 6121 Montrose Rd, Rockville, MD 20852 | 2018-08-22 |
| 1447737218 | Sara Haile | Occupational Therapist | Fitness for Health, 11140 Rockville Pike Suite 303, Rockville, MD 20852 | 2018-07-25 |
| 1134605009 | The Center for Conception and Pelvic Surgery, Inc | Clinic/Center | 3202 Tower Oaks Blvd Ste 370b, Rockville, MD 20852 | 2018-07-13 |
| 1598259095 | Monroe Operations, LLC | Clinic/Center | 12300 Twinbrook Pkwy Ste 250, Rockville, MD 20852 | 2018-06-18 |
| 1740771179 | Advanced Practitioner Healthcare Networking, LLC | Clinic/Center | 6246 Montrose Rd, North Bethesda, MD 20852 | 2018-05-22 |
| Find all providers in zip 20852 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326551367 | Vc Insight, LLC | Optometrist | 5576 Norbeck Rd Unit B, Rockville, MD 20853-2408 | 2017-11-13 |
| 1104113703 | Andy T. Cheng | Optometrist | 3204 Tower Oaks Blvd Ste 300, Rockville, MD 20852-4250 | 2011-07-01 |
| 1619106952 | Valerie Lyn Jones | Optometrist | 725 N. Lincoln Rd, Rockville, IN 47872 | 2009-07-08 |
| 1285862110 | Eric Chi-jun Jan | Optometrist | 14008 Glen Mill Rd, Rockville, MD 20850-3427 | 2009-06-30 |
| 1184814428 | Jp Kim | Optometrist | 9710 Traville Gateway Dr # 108, Rockville, MD 20850-7408 | 2007-08-01 |
| 1801097027 | Lauren Fox Rubin | Optometrist | 15200 Shady Grove Rd Ste 100, Rockville, MD 20850-3218 | 2007-05-29 |
| 1396967691 | Parke Vision Care LLC | Optometrist | 725 N Lincoln Rd, Rockville, IN 47872-1117 | 2007-05-03 |
| 1770608788 | Richard E Lippman | Optometrist | 12015 Rockville Pike, Suite E, Rockville, MD 20852-1611 | 2007-03-20 |
| 1184771834 | Gary T Coburn | Optometrist | 725 N Lincoln Road, Rockville, IN 47872 | 2007-01-04 |
| 1609952530 | David Dean Brammer | Optometrist | 414 Hungerford Dr, #100, Rockville, MD 20850-4125 | 2006-10-31 |
| Find all providers in ROCKVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.