Timothy Glenn Spence, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT001255 Issued in GA

Practice address

9550 Jones Bridge Rd
Suite 200
Alpharetta, GA 30022

Phone

(770) 475-1242

Fax

(770) 475-1032

NPI assigned

Mar 25, 2006

Last updated

Sep 25, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Payne and Payne PCGroup PAC ID 5597666545, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Payne & Payne, PC

  dba South Forsyth/Alpharetta Eyecare

  • Optometrist
  • Suwanee, GA
  • NPI 1912195272
  Medicare reassignment Care Compare group NPD
• Oneopto Ga 1 PLLC

  dba Caris Eye Centers

  • Optometrist
  • Suwanee, GA
  • NPI 1952250367
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222300800000",
    "number": "1073573788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 JOHNS CREEK PKWY",
            "address_2": "SUITE 300",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246120",
            "telephone_number": "770-232-7844",
            "fax_number": "770-232-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 JONES BRIDGE RD",
            "address_2": "SUITE 200",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "30022",
            "telephone_number": "770-475-1242",
            "fax_number": "770-475-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCE",
        "first_name": "TIMOTHY",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2008-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1912195272",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000493347B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "GRP4578",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spectrum Dermatology of Atlanta
• Spectrum Internal Medicine, LLC
• Spectrum Support Solutions
• Speech for All, Inc.20
• Speech Therapy of Forsyth, LLC
• Adam Andrew Spencer, BCBA
• Jamaal L Spencer, PTA
• Danielle Lauren Spera
• Spherios of Roswell LLC
• Bridget Anne Spicer, LPC

• Optometrist in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.