DR. MICHAEL SEBASTIAN SPENCER (NPI# 1245688308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245688308 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL SEBASTIAN SPENCER |
| Credential | O.D. |
| Practice Address |
711 N Main St Benton IL 62812-1017 |
| Practice Telephone | 6184397256 |
| Mailing Telephone | 6184397256 |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2016-05-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046010980 | IL | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659722684 | Michael Spencer | In Home Supportive Care | 6879 Carters Grove Dr, Noblesville, IN 46062-7969 | 2016-06-30 |
| 1902107774 | Michael P Spencer | Behavioral Analyst | 3617 Sunvalley Dr, Midwest City, OK 73110-1223 | 2010-11-10 |
| 1396876033 | Michael Kenney Spencer | Dentist | 3221 Hulen St, Suite B, Fort Worth, TX 76107-6114 | 2007-03-07 |
| 1245340249 | Michael Darwin Spencer | Dentist | 1061 Riverside Ave, Suite 101, Jacksonville, FL 32204-4152 | 2006-08-30 |
| 1912960022 | Michael F Spencer | Optometrist | 3507 Lee Blvd Ste 104, Lehigh Acres, FL 33971-1303 | 2006-04-10 |
| 1528609500 | Michael Spencer | Counselor | 1625 Filbert St, Oakland, CA 94607-2890 | 2019-10-01 |
| 1558928333 | Michael Steven Spencer | Technician | 5028 Alta Dr, Las Vegas, NV 89107-3927 | 2019-05-28 |
| 1144705500 | Michael Spencer | Counselor | 10080 E Us Highway 36 Ste A, Avon, IN 46123-8174 | 2018-10-01 |
| 1932506888 | Michael Spencer | Counselor | 1949 Se 122nd Ave, Portland, OR 97233-1303 | 2014-11-20 |
| 1265843759 | Michael Spencer | Registered Nurse | 6601 W 12th St, Little Rock, AR 72204-1513 | 2014-05-19 |
| Street Address |
711 N MAIN ST |
| City | BENTON |
| State | IL |
| Zip Code | 62812-1017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316121015 | David K. Spencer, O.d. | Optometrist | 711 N Main St, Benton, IL 62812-1017 | 2007-12-18 |
| 1750398467 | David Keith Spencer | Optometrist | 711 N Main St, Benton, IL 62812-1017 | 2006-08-02 |
| 1194732800 | Donna Sunda Spencer | Optometrist | 711 N Main St, Benton, IL 62812-1017 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417472739 | City of Benton | Ambulance | 107 N. Maple St., Benton, IL 62812 | 2017-08-08 |
| 1982955712 | National Healthcare of Mt Vernon Inc | Clinic/Center | 905 W Washington St Ste A, Benton, IL 62812 | 2012-09-19 |
| 1255647129 | Centerstone of Illinois, Inc | Counselor | 409 South George Street, Benton, IL 62812 | 2010-08-30 |
| 1215184635 | Darla Joe Allan | Emergency Medicine | 501 Du Quoin St, Benton, IL 62812 | 2008-08-27 |
| 1770752362 | Rlh Anesthesia Service PC | Nurse Anesthetist, Certified Registered | 86 Skiers Run, Benton, IL 62812 | 2008-02-27 |
| 1508070764 | Kevin B Delatour | Dentist | 808 North Main, Benton, IL 62812 | 2007-05-09 |
| 1801014782 | Maureen Tinsley | Occupational Therapist | 9 Rend Lake Plaza, Benton, IL 62812 | 2007-04-23 |
| 1154485316 | Carmen J House | Chiropractor | 106 West Washington Street, Benton, IL 62812 | 2006-12-21 |
| 1548240211 | Christopher Greater Area Rural Health Planning Corp | Family Medicine | Rea Clinic Benton, 201 Bailey Lane, Benton, IL 62812 | 2006-01-19 |
| 1477531192 | David Frank Szoke | Emergency Medicine | 905 West Washington, Benton, IL 62812 | 2006-01-03 |
| Find all providers in zip 62812 | ||||
| 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 |
|---|---|---|---|---|
| 1801340633 | Cvo-bryant, LLC | Optometrist | 20770 I 30, Suite 135, Benton, AR 72019-8022 | 2016-08-10 |
| 1437402609 | Contact Lens Express LLC | Optometrist | 3715 Wildflower Ln, Benton, AR 72015-9000 | 2012-10-24 |
| 1033407226 | David Bryon Glenn | Optometrist | 443 Hwy 5 N, Benton, AR 72019-9778 | 2011-07-21 |
| 1356635510 | Justin B. Franks O.d. P.a. | Optometrist | 3016 Castle Valley Dr, Benton, AR 72019-6976 | 2011-06-06 |
| 1558675157 | Michael Wade Jorgensen | Optometrist | 187 Burt Blvd, Ste A, Benton, LA 71006-4905 | 2010-08-06 |
| 1528371150 | Jamie Byron Johnson | Optometrist | 318 W Sevier St, Benton, AR 72015-4270 | 2010-07-25 |
| 1124257035 | Natasha G. Lyles | Optometrist | 140 Commerce Blvd, Benton, KY 42025-1112 | 2009-07-13 |
| 1669651311 | Benton Eyecare Clinic | Optometrist | 443 Highway 5 N, Benton, AR 72019-9778 | 2007-10-30 |
| 1801839477 | Michael Lynn Hayes | Optometrist | 310 W 5th St, Benton, KY 42025-1102 | 2006-06-13 |
| 1245204304 | Laurel Morris | Optometrist | 109 W 5th St, Benton, KY 42025-1123 | 2006-02-15 |
| Find all providers in BENTON | ||||
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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.