MEDICARE: MACY SPARKS OD

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	152W00000X	Optometrist	2340	SC

General Provider Information

NPI Number	:	1801526165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MACY SPARKS OD

Provider Business Mailing Address
First Line	:	PO BOX 896189
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28289-6189
Country	:	US
Telephone Number	:	864-654-6706
Fax Number	:

Provider Business Practice Location Address
First Line	:	3529 HIGHWAY 153
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29611-7515
Country	:	US
Telephone Number	:	864-654-6706
Fax Number	:

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

Provider Enumeration Date	:	06/10/2022
Last Update Date	:	06/27/2024

Similar Medicare Providers

1265413587 — DR. VALERIE S URBAN OPTOMETRIST
Practice Location Address:

3529 HIGHWAY 153
GREENVILLE, SC
29611-7515

Practice Phone: 864-295-3550
Practice Fax: 864-295-3242

1033190350 — ANDERSON OPTOMETRIC ASSOCIATES
Practice Location Address:

3529 HIGHWAY 153
GREENVILLE, SC
29611-7515

Practice Phone: 864-295-3550
Practice Fax: 864-295-3242

1003113267 — DR. KARLA LEIGH CARUSO PHARM D
Practice Location Address:

3501 HIGHWAY 153
GREENVILLE, SC
29611-7515

Practice Phone: 864-295-2029
Practice Fax:

1104114388 — WALGREEN CO
Practice Location Address:

3501 HIGHWAY 153
GREENVILLE, SC
29611-7515

Practice Phone: 864-295-2029
Practice Fax: 864-295-8904

1861089955 — MALLORIE STANZIONE
Practice Location Address:

3501 HIGHWAY 153
GREENVILLE, SC
29611-7515

Practice Phone: 864-295-2029
Practice Fax:

1265029367 — DR. CRAIG AUSTIN EVANS PHARMD
Practice Location Address:

3501 HIGHWAY 153
GREENVILLE, SC
29611-7515

Practice Phone: 864-295-2029
Practice Fax:

Directions to “ MACY SPARKS OD” 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.