DR. NICOLE SPARKS (NPI# 1942684709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942684709 |
| Entity Type | Individual |
| Full Name | DR. NICOLE SPARKS |
| Credential | O.D. |
| Practice Address |
136 S Main St Eaton Rapids MI 48827-1068 |
| Practice Telephone | 5176632020 |
| Mailing Telephone | 5176632020 |
| Enumeration Date | 2015-07-11 |
| Last Update Date | 2016-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901004890 | MI | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770008930 | Nicole Lynn Sparks | Social Worker | 2445 Park Avenue, Minneapolis, MN 55404 | 2017-08-09 |
| 1689211617 | Nicole Sparks | Social Worker | 3707 Sw 6th Ave, Topeka, KS 66606-2084 | 2019-12-10 |
| 1093203697 | Nicole Lisa Sparks | Physician Assistant | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2018-04-29 |
| 1124414602 | Nicole A Sparks | Obstetrics & Gynecology | 6300 Hospital Pkwy Ste 375, Johns Creek, GA 30097-2461 | 2015-04-10 |
| 1730502378 | Nicole Renee Sparks | Licensed Practical Nurse | 601 N Breiel Blvd, Middletown, OH 45042-3801 | 2014-02-03 |
| Street Address |
136 S MAIN ST |
| City | EATON RAPIDS |
| State | MI |
| Zip Code | 48827-1068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528067600 | Daniel N Wrubel | Optometrist | 136 S Main St, Eaton Rapids, MI 48827-1230 | 2005-07-20 |
| 1952659880 | Tara Jane Nathaniel | Optometrist | 136 S Main St, Eaton Rapids, MI 48827-1068 | 2012-08-27 |
| 1861611626 | Eaton Rapids Eye Care PC | Optometrist | 136 S Main St, Eaton Rapids, MI 48827-1068 | 2007-04-24 |
| 1144320771 | Kyle Robert Booher | Optometrist | 136 S Main St, Eaton Rapids, MI 48827-1068 | 2006-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538399837 | Suzanne T O'rourke | Nurse Practitioner | 101 Spicerville Hwy, Eaton Rapids, MI 48827 | 2009-07-21 |
| 1831300706 | Wilson Homes, Inc. | Custodial Care Facility | 4511 Mills Hwy, Eaton Rapids, MI 48827 | 2007-05-24 |
| 1245370238 | Dianne Lynn Vanaken | Pharmacist | 122-124 S Main, Eaton Rapids, MI 48827 | 2007-02-07 |
| 1669562542 | Diane Jill Shawa | Pharmacy Technician | 1411 S. Main St., Eaton Rapids, MI 48827 | 2006-10-13 |
| 1417913104 | Jonathan Paul Wulff | Family Medicine | 1501 Kyle Street, Eaton Rapids, MI 48827 | 2006-04-22 |
| 1982229837 | Catherine D Asteriou | Social Worker | 1500 S Main St, Eaton Rapids, MI 48827 | 2020-06-16 |
| 1821648056 | Gina Marie Christopherson | Behavioral Analyst | 2549 Jolly Rd, Lansing, MI 48827 | 2019-09-19 |
| 1295203743 | Cosette Weaver | Social Worker | 1500 S Main St, Eaton Rapids, MI 48827 | 2018-11-02 |
| 1649750118 | Kahley Emens | Physical Therapist | 1415 S Main St Ste B, Eaton Rapids, MI 48827 | 2018-08-15 |
| 1083062368 | Tara Calabro | Social Worker | 1500 S Main St, Eaton Rapids, MI 48827 | 2016-05-27 |
| Find all providers in zip 48827 | ||||
| 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 |
|---|---|---|---|---|
| 1528067600 | Daniel N Wrubel | Optometrist | 136 S Main St, Eaton Rapids, MI 48827-1230 | 2005-07-20 |
| 1952659880 | Tara Jane Nathaniel | Optometrist | 136 S Main St, Eaton Rapids, MI 48827-1068 | 2012-08-27 |
| 1861611626 | Eaton Rapids Eye Care PC | Optometrist | 136 S Main St, Eaton Rapids, MI 48827-1068 | 2007-04-24 |
| 1144320771 | Kyle Robert Booher | Optometrist | 136 S Main St, Eaton Rapids, MI 48827-1068 | 2006-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154921815 | Daniel & Max, LLC | Optometrist | 5020 Bay Rd, Saginaw, MI 48604-2522 | 2020-10-30 |
| 1689274516 | Soave Eye Care | Optometrist | 522 S Garfield Ave Ste A, Traverse City, MI 49686-3485 | 2020-10-29 |
| 1821697152 | Chelsea Vernaci | Optometrist | 42550 Garfield Rd Ste 101, Clinton Twp, MI 48038-1644 | 2020-10-19 |
| 1225636095 | Crystal Angela Ruemenapp | Optometrist | 1691 E Us 23 Ste 2, East Tawas, MI 48730-9337 | 2020-10-14 |
| 1053926089 | Estefany Colon Lopez | Optometrist | 3497 S Linden Rd Spc 780, Flint, MI 48507-3018 | 2020-09-15 |
| 1770195794 | Caitlin Elise-nosanov Winsor | Optometrist | 1761 W M 43 Hwy Ste 1, Hastings, MI 49058-8567 | 2020-08-20 |
| 1194336446 | Bennett Optometry LLC | Optometrist | 555 E Michigan Ave, Saline, MI 48176-1588 | 2020-08-11 |
| 1538777255 | James Bong-suk Kim | Optometrist | 19747 W 12 Mile Rd Ste L7a, Southfield, MI 48076-2584 | 2020-07-20 |
| 1295352987 | Ashleigh Yates | Optometrist | 3152 Peregrine Dr Ne Ste 205, Grand Rapids, MI 49525-9723 | 2020-06-29 |
| 1467078915 | Jaclyn Tolles | Optometrist | 63 1st St, Milan, MI 48160-1001 | 2020-06-21 |
| Find all providers with the same taxonomy | ||||
| City | EATON RAPIDS |
| Zip Code | 48827 |
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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.