NPIMap

Organization Active NPI

Spectacle, LLC

  • Optometrist
  • Smyrna, GA
National Provider Identifier
1821688268
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SPECTACLE, LLC
Practice address
2201 Cobb Pkwy SE
Smyrna, GA 30080-7629
Phone
(770) 250-7510
Fax
(770) 953-4113
NPI assigned
Jan 20, 2021
Last updated
Jan 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Authorized official

Name
Dr. Jessica Hall, OD
Title
Sole Member
Phone
(404) 218-8473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

2201 Cobb Pkwy SE
Smyrna, GA 30080-7629

Mailing address

509 Keeler Woods Dr NW
Marietta, GA 30064-2022

National Provider Directory

National Provider Directory

Locations

375 18th St NW
Atlanta, GA 30363
Phone (404) 260-6196

5220 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-1421

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1821688268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 KEELER WOODS DR NW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300642022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 COBB PKWY SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300807629",
            "telephone_number": "770-250-7510",
            "fax_number": "770-953-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTACLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "404-218-8473",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.