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Deactivated NPI 1285798165 Deactivated / Inactive NPI Male Practitioner

Dr. Jeryl L Sparks , OD

Optometrist • Richardson, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jeryl Sparks has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 21, 2006
NPI Deactivation Date August 31, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Jeryl Sparks, OD was a registered Optometrist practicing in Richardson, TX. Throughout an active medical career spanning 11 years, Dr. Sparks provided care at the practice location at 1120 W CAMPBELL RD until profile deactivation on 2017-08-31.

Practice Location & Contact Primary Location

Practice Address

1120 W Campbell Rd
Suite 105

Richardson, TX 750802977

Telephone 9722313439
Fax 9722310260
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Richardson, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.4 Yrs
State Avg: 19.5 Yrs
Regional Practice Density
34 Specialists

Practicing in Richardson, TX (5156 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License TX 2134TG

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1669442166

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 31, 2017

Record deactivated on August 31, 2017

NPI Profile Active September 11, 2012

NPI status registered as active in NPPES database

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Updated Practice Location September 11, 2012

Registered at 1120 W CAMPBELL RD, SUITE 105, RICHARDSON, TX 750802977 (Tel: 9722313439)

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Updated Business Mailing Address September 11, 2012

Registered at 18032 BENCHMARK DR, DALLAS, TX 752528134 (Tel: 2146760301)

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Provider Name / Credentials Updated September 11, 2012

Recorded as JERYL SPARKS, OD

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2012

Optometrist (License #2134TG in TX)

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Initial NPI Registration & Enumeration December 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285798165
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 21, 2006
Last Update: September 11, 2012
Deactivation Date: August 31, 2017

Mailing Address

18032 Benchmark Dr

Dallas, TX 752528134

Phone: 2146760301

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.