Individual provider Active NPI

Gilbert Donald Spindel Jr., O.D., F.A.A.O.

  • Corneal and Contact Management Optometrist
  • Atlanta, GA
National Provider Identifier
1538113600
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
OPT000770 Issued in GA
Practice address
4505 Ashford Dunwoody Road
Suite 15
Atlanta, GA 30346-1516
Phone
(678) 666-5076
Fax
(678) 666-5076
NPI assigned
May 21, 2006
Last updated
Oct 16, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 770 GA
Corneal and Contact Management Optometrist 152WC0802X OPT000770 GA Primary

Addresses

Primary practice location

4505 Ashford Dunwoody Road
Suite 15
Atlanta, GA 30346-1516

Mailing address

1725 Providence Place Dr
Alpharetta, GA 30009-3560
Phone (770) 442-1661

Other identifiers 1

IdentifierTypeStateIssuer
00061575BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
770GAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Keith P. Thompson MD PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1148169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1538113600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 PROVIDENCE PLACE DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300093560",
            "telephone_number": "770-442-1661",
            "fax_number": "770-664-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 ASHFORD DUNWOODY ROAD",
            "address_2": "SUITE 15",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303461516",
            "telephone_number": "678-666-5076",
            "fax_number": "678-666-5076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPINDEL",
        "first_name": "GILBERT",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D., F.A.A.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-21",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "GA",
            "license": "770",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "GA",
            "license": "OPT000770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00061575B",
            "state": "GA"
        }
    ],
    "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 Oct 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.