KEITH BRIAN SPARKMAN (NPI# 1700949989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700949989 |
Entity Type | Individual |
Full Name | KEITH BRIAN SPARKMAN |
Credential | OD |
Practice Address |
1013 Spring Creek Rd Chattanooga TN 37412 |
Practice Telephone | 4238558288 |
Practice Fax Number | 4238554527 |
Mailing Telephone | 4238558288 |
Mailing Fax Number | 4238554527 |
Enumeration Date | 2006-12-18 |
Last Update Date | 2008-04-28 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | ODT1603 | TN | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BLUE CROSS BLUE SHIELD | 3088639 | 01 | |
UNITED HEALTH | 2240306 | 01 | |
TN | 3599732 | 05 | |
MEDICARE RAILROAD | 410040394 | 01 |
Street Address |
1013 SPRING CREEK RD |
City | CHATTANOOGA |
State | TN |
Zip Code | 37412 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548467194 | Keith B Sparkman | Optometrist | 1013 Spring Creek Rd, Chattanooga, TN 37412-3971 | 2007-06-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316482458 | East Ridge Snf Operations, LLC | Skilled Nursing Facility | 1502 Mcdonald Rd., East Ridge, TN 37412 | 2016-12-28 |
1487080149 | Puckett Med Van LLC | Non-emergency Medical Transport (VAN) | 5603 Ringgold Road, East Ridge, TN 37412 | 2013-09-25 |
1538420229 | Nathan Hartgrove | Internal Medicine | 961 Spring Creek Rd Ste 300, Chattanooga, TN 37412 | 2012-05-30 |
1770869042 | Jonathan Bailey Barnett I | Pharmacist | 5301 Ringold Rd, East Ridge, TN 37412 | 2011-10-31 |
1932482791 | Ronald P Leonard | Pharmacist | 7354 East Brainerd Rd, Chattanooga, TN 37412 | 2011-09-27 |
1164758561 | Zoilus, Inc | Home Health | 912 Belvoir Hills Circle, Chattanooga, TN 37412 | 2009-10-20 |
1093935157 | Alan L Crisman | Dentist | 1421 Armour Street, Chattanooga, TN 37412 | 2007-04-30 |
1174617161 | Shahul H Majeed | Obstetrics & Gynecology | 1012 Spring Creek Road, Chattanooga, TN 37412 | 2006-10-03 |
1356434070 | Mckinley Snipes Lundy Sr. | Preventive Medicine | 931 Spring Creek Road, Suite 200, Chattanooga, TN 37412 | 2006-10-02 |
1063479350 | Dennis Luke Bizzoco | Podiatrist | 1007 Spring Creek Rd, Chattanooga, TN 37412 | 2006-04-28 |
Find all providers in zip 37412 |
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 |
---|---|---|---|---|
1619585130 | Caroline Elizabeth Vollberg | Optometrist | 7268 Jarnigan Rd Ste 200, Chattanooga, TN 37421-3097 | 2020-07-21 |
1477082287 | Chattanooga Eye Care, LLC | Optometrist | 1201 Market St Ste B, Chattanooga, TN 37402-2714 | 2017-06-06 |
1326442559 | Brooke Millison Lane David | Optometrist | 1208 Pointe Centre Dr Ste 100, Chattanooga, TN 37421-3989 | 2014-10-17 |
1891199337 | Anne Strong | Optometrist | 2100 Hamilton Place Blvd Ste 167, Chattanooga, TN 37421-6057 | 2014-10-13 |
1841621422 | Matthew C Bohrman Od LLC | Optometrist | 309 N Market St Ste A, Chattanooga, TN 37405-3908 | 2013-12-06 |
1336432251 | Idoc Holdings LLC | Optometrist | 2004 Gunbarrel Rd, C/o Eye Glass World, Chattanooga, TN 37421-2605 | 2011-05-25 |
1578887485 | Leslie Draper Od PC | Optometrist | 1201 Market St, Ste B, Chattanooga, TN 37402-2714 | 2010-03-22 |
1730388042 | Lett Eye Care, Pllc | Optometrist | 5626 Brainerd Rd, Chattanooga, TN 37411-5310 | 2007-07-16 |
1801014840 | Charles A Rosenthal | Optometrist | 2040 Hamilton Place Blvd Ste 400, Chattanooga, TN 37421 | 2007-04-23 |
1821125485 | Mark R. Kapperman, Od PC | Optometrist | 1720 Gunbarrel Rd Ste 100, Chattanooga, TN 37421-3192 | 2007-02-28 |
Find all providers in CHATTANOOGA |
City | CHATTANOOGA |
Zip Code | 37412 |
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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.