MEDICARE: TIMOTHY B SPICER O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152WC0802X	Corneal and Contact Management Optometrist	01486	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	410038572	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	3114334	OTHER	BLUE CROSS BLUE SHIELD
2	3539796	OTHER	CIGNA
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	2240323	OTHER	UNITED HEALTHCARE
6	5948070	OTHER	AETNA
7	100024365	OTHER	PHP
8	3333333	OTHER	UMWA

General Provider Information

NPI Number	:	1962471789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY B SPICER O.D.

Provider Business Mailing Address
First Line	:	1928 ALCOA HWY
Second Line	:	SUITE 324
City	:	KNOXVILLE
State	:	TN
Zip	:	37920-1502
Country	:	US
Telephone Number	:	865-524-9871
Fax Number	:	865-305-6695

Provider Business Practice Location Address
First Line	:	622 SMITHVIEW DR
Second Line	:
City	:	MARYVILLE
State	:	TN
Zip	:	37803-6100
Country	:	US
Telephone Number	:	865-681-1234
Fax Number	:	865-982-9746

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2006
Last Update Date	:	05/09/2008

Similar Medicare Providers

1679571889 — SHARA BETH OVERBAY LCSW
Practice Location Address:

627 SMITHVIEW DR
MARYVILLE, TN
37803-6100

Practice Phone: 865-380-4390
Practice Fax: 865-380-4396

1073500823 — DR. LAUREL B COOK I DPM
Practice Location Address:

603 SMITHVIEW DR
MARYVILLE, TN
37803-6100

Practice Phone: 865-981-4595
Practice Fax: 865-981-4544

1649268814 — DR. JEFFREY JENNINGS EBERTING D.M.D.
Practice Location Address:

619 SMITHVIEW DR
MARYVILLE, TN
37803-6100

Practice Phone: 865-983-3570
Practice Fax: 865-983-9547

1174592984 — JULIE ROSS DURAND M.D.
Practice Location Address:

622 SMITHVIEW DR
MARYVILLE, TN
37803-6100

Practice Phone: 865-681-1234
Practice Fax: 865-982-9746

1568431393 — KENNETH W OLANDER M.D.
Practice Location Address:

622 SMITHVIEW DR
MARYVILLE, TN
37803-6100

Practice Phone: 865-681-1234
Practice Fax: 865-982-9746

1669416921 — LORI A BAXTER M.D., FAAP
Practice Location Address:

CEDAR CREEK PEDIATRIC & ADOLESCENT MEDICINE, PC , 616 SMITHVIEW DRIVE
MARYVILLE, TN
37803-6100

Practice Phone: 865-379-2277
Practice Fax: 865-738-0087

Directions to “ TIMOTHY B SPICER O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.