Individual provider Active NPI

Thomas Alan Spetalnick, OD

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1124114046
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT001121 Issued in GA
Practice address
800 Mount Vernon Hwy
Suite 125
Atlanta, GA 30328-4295
Phone
(404) 256-1125
Fax
(404) 256-1964
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT001121 GA Primary

Addresses

Primary practice location

800 Mount Vernon Hwy
Suite 125
Atlanta, GA 30328-4295

Mailing address

1065 Jodeco Rd
Stockbridge, GA 30281-4953
Phone (678) 284-6300

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080619000380 GA Practitioner - Ophthalmology 7416028345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Alabama School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jonathan Woolfson MD PC 29 clinicians

Practice addresses (Care Compare)

800 Mount Vernon Nehwy
Suite 130
Atlanta, GA 30328-4293
Phone (404) 237-1770

Merit-based Incentive Payment System (MIPS)

Final score
85.81 of 100Reported as group
Quality
81.18
Promoting interoperability
92
Improvement activities
40
Cost
78.2

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT001121GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan Woolfson, MD, PC CurrentSince Apr 1, 2009 Accepting new patients
Jonathan Woolfson, MD, PC CurrentSince Apr 1, 2009 Accepting new patients
North Ophthalmology Referral Center Past Accepting new patients
Jonathan Woolfson, MD, P.C. Past Accepting new patients

Locations

1505 Northside Blvd
Ste 1200
Cumming, GA 30041
Phone (678) 845-0466

1620 Highway 76
Hiawassee, GA 30546
Phone (866) 527-3722

1980 Riverside Pkwy
Ste 103
Lawrenceville, GA 30043
Phone (404) 237-1770

800 Mount Vernon Hwy NE
Ste 100
Sandy Springs, GA 30328
Phone (404) 237-1770

800 Mount Vernon Hwy NE
Ste 130
Sandy Springs, GA 30328
Phone (404) 237-1770

800 Mount Vernon Hwy NE
Ste 125
Sandy Springs, GA 30328
Phone (404) 256-1125

800 Mount Vernon Hwy NE
Ste 120
Sandy Springs, GA 30328

1065 Jodeco Rd
Stockbridge, GA 30281
Phone (678) 284-6300

Interoperability endpoints

  • Direct secure messaging: tom@woolfsoneye.emadirect.md

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258329600000",
    "number": "1124114046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 JODECO RD",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302814953",
            "telephone_number": "678-284-6300",
            "fax_number": "678-284-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MOUNT VERNON HWY",
            "address_2": "SUITE 125",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284295",
            "telephone_number": "404-256-1125",
            "fax_number": "404-256-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPETALNICK",
        "first_name": "THOMAS",
        "middle_name": "ALAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2009-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.