Active NPI
Thomas Alan Spetalnick, OD
- Optometrist
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT001121
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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 100
- Quality
- 81.18
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 78.2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT001121 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jonathan Woolfson, MD, PC | Current | Accepting new patients | |
| Jonathan Woolfson, MD, PC | Current | 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
- 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.
-
- Ophthalmology Physician
- Jasper, GA
- NPI 1508196601
-
- Ophthalmology Physician
- Atlanta, GA
- NPI 1255577300
-
- Ophthalmology Physician
- Cumming, GA
- NPI 1194920900
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; 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.