Individual
TIMOTHY A SPARKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3810 S HIGHWAY 27 STE 1, SOMERSET, KY 42501-3073
(606) 678-4551
(606) 678-0972
Mailing address
PO BOX 296, FERGUSON, KY 42533-0296
(606) 492-2211
(606) 676-0873
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1850DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000840902
ANTHEM SOMERSET
KY
01
—
000000840905
ANTHEM WHITLEY
KY
01
—
015403
BLOCK SOMERSET
KY
01
—
0487990002
MEDICARE DME WHITLEY
KY
01
—
0487990006
MEDICARE DME SOMERSET
KY
01
—
154471
TENNCARE SOMERSET
TN
01
—
2416
MEDICARE SOMERSET
KY
01
—
4104981
TENNCARE WHITLEY
TN
01
—
5092
AVESIS SOMERSET
KY
01
—
5094
AVESIS WHITLEY
KY
05
—
7100196570
—
KY
05
—
7100209960
—
KY
05
—
7100212600
—
KY
01
—
8809
MEDICARE WHITLEY
KY
01
—
CB8623
RAILROAD MEDICARE KY OFFICES
KY
01
—
CJ5379
RAILROAD MEDICARE TN OFFICES
TN
01
—
CP0230:009
EYEMED WHITLEY
KY
01
—
CP0230:010
EYEMED SOMERSET
KY
Enumeration date
08/26/2011
Last updated
05/11/2026
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