| Doctor Name: | RHODY LEE SPOONER |
| NPI Number: | 1780985275 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | COO5466 |
| Business Practice Address: | 43744 State Route 12 Alexandria Bay, NY - 136072124 |
| Business Phone Number: | 3154820733 |
| Business Fax Number: | |
| Mailing Address: | 20140 Carr Rd, WELLESLEY ISLAND |
| State: | NY |
| Postal Code: | 136403186 |
| Phone Number: | 3157770682 |
| Fax Number: | |
| NPI Enumeration Date: | 11/15/2010 |
| NPI Last Update Date: | 02/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | COO5466 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |