Richard D. Spolzino, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002303 Issued in GA

Practice address

1550 Riverstone Pkwy
Canton, GA 30114-2889

Phone

(770) 720-1025

NPI assigned

Feb 6, 2007

Last updated

Jul 8, 2007By 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 2

Medicare fee-for-service enrollment

Enrolled in SC

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

Illinois College of Optometry at Chicago, 1987

Medicare assignment

May accept Medicare assignment

Group practices

Chicagoland Eyecare IncGroup PAC ID 0446514772, 3 clinicians

Practice addresses (Care Compare)

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.

• Chicagoland Eyecare Inc

  dba Eyeland Optique LLC

  • Optometrist
  • Hilton Head Island, SC
  • NPI 1912478462
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760521348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15780 MANOR TRACE",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "30004",
            "telephone_number": "770-754-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 RIVERSTONE PKWY",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142889",
            "telephone_number": "770-720-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOLZINO",
        "first_name": "RICHARD",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED VISION PLAN",
            "identifier": "114964",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA VISION PLAN",
            "identifier": "43854",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Breona D Spear
• Bonny Spears, PTA
• Stephanie Hemenway Spelsberg, LCSW
• Nanette Locole Spencer, FNP
• Steven Mark Spitz, MD
• Sports Performance & Rehabilitation Institute LLC (Georgia Physical Therapy & Sports Medicine Center)
• Olukemi Onifade Spradling
• Brittany Mary Sproul, AGACNP-BC
• John A Sproviero, D.C.
• SSC Canton Operating Company LLC (Brian Center Health & Rehabilitation - Canton)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.