TIMOTHY B SPICER (NPI# 1962471789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962471789 |
| Entity Type | Individual |
| Full Name | TIMOTHY B SPICER |
| Credential | O.D. |
| Practice Address |
622 Smithview Dr Maryville TN 37803-6100 |
| Mailing Address |
1928 Alcoa Hwy Suite 324 Knoxville TN 37920-1502 |
| Practice Telephone | 8656811234 |
| Practice Fax Number | 8659829746 |
| Mailing Telephone | 8655249871 |
| Mailing Fax Number | 8653056695 |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2008-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
01486 | TN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3599181 | 05 | |
| PHP | 100024365 | 01 | |
| UNITED HEALTHCARE | 2240323 | 01 | |
| AETNA | 5948070 | 01 | |
| UMWA | 3333333 | 01 | |
| RAILROAD MEDICARE | 410038572 | 01 | |
| CIGNA | 3539796 | 01 | |
| BLUE CROSS BLUE SHIELD | 3114334 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306284104 | Timothy Scott Spicer | Psychologist | 769 W Blaine St, Suite B, Riverside, CA 92507-3970 | 2013-06-13 |
| Street Address |
622 SMITHVIEW DR |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37803-6100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174592984 | Julie Ross Durand | Ophthalmology | 622 Smithview Dr, Maryville, TN 37803-6100 | 2006-03-15 |
| 1104440486 | Hannah Garlyn Hughes | Optometrist | 622 Smithview Dr, Maryville, TN 37803-6100 | 2020-06-03 |
| 1003971342 | University Eye Specialists, P.C. | Optometrist | 622 Smithview Dr, Maryville, TN 37803-6100 | 2006-12-27 |
| 1073524096 | University Eye Specialists, PC | Eyewear Supplier (Equipment, not the service) | 622 Smithview Dr, Maryville, TN 37803-6100 | 2006-08-11 |
| 1568431393 | Kenneth W Olander | Ophthalmology | 622 Smithview Dr, Maryville, TN 37803-6100 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669964672 | Mary Kathleen Gravatt | Physical Therapy Assistant | 1750 Linda Ln, Maryville, TN 37803 | 2018-06-05 |
| 1235350828 | Thomas Robert Schlitt | Physical Therapist | 833 Lawrence Avenue, Maryville, TN 37803 | 2007-05-01 |
| 1437278769 | Selena Lynette Reed | Dietitian, Registered | 1759 Old Niles Ferry Rd, Maryville, TN 37803 | 2007-03-28 |
| 1386775641 | Mary W Tucker | Nurse Practitioner | 116 Chantilly Lane, Maryville, TN 37803 | 2007-03-08 |
| 1518098045 | Wal-mart Stores East, L.p. | Technician/Technologist | 2410 Us Hwy 411 South, Maryville, TN 37803 | 2007-03-08 |
| 1265529069 | Robert F Fekete | Pharmacist | 1524 Woodward Court, Maryville, TN 37803 | 2006-10-05 |
| 1336234848 | Edwin Terry Webb | Pharmacist | 131 Montgomery Lane, Maryville, TN 37803 | 2006-10-03 |
| 1891793014 | Rebecca Lynn Bunch | Counselor | 627 Smithview Drive, Maryville, TN 37803 | 2005-07-12 |
| 1770788895 | Janaan Manney Branch | Registered Nurse | 627 Smithview Drive, Maryville, TN 37803 | 2007-06-19 |
| 1396860185 | Caroline Rech | Registered Nurse | 627 Smithview Drive, Maryville, TN 37803 | 2007-03-20 |
| Find all providers in zip 37803 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326007592 | Lloyd Alton Tantum | Optometrist | 1732 W Broadway Ave, Maryville, TN 37801-5510 | 2006-03-17 |
| 1699961631 | Blount County Eye Center, Pllc | Optometrist | 1732 W Broadway Ave, Maryville, TN 37801-5510 | 2007-09-24 |
| 1003971342 | University Eye Specialists, P.C. | Optometrist | 622 Smithview Dr, Maryville, TN 37803-6100 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548302854 | Donelson Eyecare, Pllc | Optometrist | 2378 Lebanon Pike, Nashville, TN 37214-2411 | 2007-02-13 |
| 1790823201 | Mary K Conway | Optometrist | 7600 H Kingston Pike, Knoxville, TN 37919-5604 | 2007-02-05 |
| 1538215777 | Kevin Lee Johnson | Optometrist | 2021 Church St Ste 300, Baptist Hospital, Medical Plaza 2, Nashville, TN 37203-2051 | 2007-01-27 |
| 1114085701 | Drs. Shields and Shields | Optometrist | 10219 Kingston Pike, Ste 101, Knoxville, TN 37922-3222 | 2006-12-05 |
| 1841381118 | Warwick C Dell | Optometrist | 8151 Hixson Pike, Hixson, TN 37343-1801 | 2006-09-28 |
| 1710991872 | Steven R. Shum | Optometrist | 2109 West St, Suite 1, Germantown, TN 38138-3837 | 2006-07-27 |
| 1831124353 | Tom Kevin Flowers | Optometrist | 189 W University Pkwy Ste D, Jackson, TN 38305-1671 | 2006-07-12 |
| 1609806637 | Lina M Desai | Optometrist | 11232 W Point Dr, Suite A, Knoxville, TN 37934-2837 | 2006-07-04 |
| 1558306043 | Turner Vision of Tennessee, Psc | Optometrist | 3051 Kinzel Way, Knoxville, TN 37924-2190 | 2006-06-18 |
| 1710920475 | Ultra Eyecare | Optometrist | 3460 Plaza Ave, Memphis, TN 38111-4614 | 2006-06-13 |
| Find all providers with the same taxonomy | ||||
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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.