THOMAS ALAN SPETALNICK (OD) – Optometrist, NPI 1124114046

THOMAS ALAN SPETALNICK (OD) is a healthcare provider. based in Stockbridge, Georgia. specializing in OPHTHALMOLOGY. They hold the professional credentials OD. They hold a License No. OPT001121 (GA). The NPI Number for THOMAS ALAN SPETALNICK (OD) is 1124114046

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS ALAN SPETALNICK (OD)
NPI
1124114046
Phone
(678) 284-6300
Address
1065 JODECO RD
Enumeration Date
5 October 2006
Last Update Date
16 November 2009

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
4042371770
Graduation Year
1986 (40 years ago)
PAC ID
7416028345
Group Practice PAC ID
8426046665
Professional Enrollment ID
I20080619000380
Address ID
GA303284293AT800XXNEHW403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

570 OPHTHALMOLOGY in GA

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Provider Addresses for THOMAS ALAN SPETALNICK (OD)

  • Jodeco Road, Stockbridge, Henry County, Georgia, 30281, United States

    STOCKBRIDGE, GA 302814953

    Phone: (678) 284-6300

    Fax: (678) 284-6282

    Type: Mailing

  • 800, Mount Vernon Highway, Hammond, Atlanta, Georgia, 30328, United States

    SUITE 125

    ATLANTA, GA 303284295

    Phone: (404) 256-1125

    Fax: (404) 256-1964

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $2,005.

Total Amount is formed as General ($2,005) + Research ($0) + Ownership ($0) = $2,005.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Glaukos Corporation ($381).

Total Amount

$2,005

General + Research + Ownership

Payments

29

Total payment records

General Amount

$2,005

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-06-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080619000380IOphthalmologyGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30281)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426046665View full group profile
NameSpecialtyState
-GA
O P H T H A L M O L O G YGA
O P H T H A L M O L O G YNY
O P T O M E T R YTN
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YNC
O P H T H A L M O L O G YGA
O P H T H A L M O L O G YGA
O P T O M E T R YGA
O P T O M E T R YGA

Reviews

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Frequently asked questions

Can I verify THOMAS ALAN SPETALNICK (OD) with an NPI only?
You can start verification with NPI 1124114046 for THOMAS ALAN SPETALNICK (OD), then check state licensing separately.
Can I rely on THOMAS ALAN SPETALNICK (OD) being an active provider?
As of the registry snapshot, THOMAS ALAN SPETALNICK (OD) is marked active.
What taxonomy line describes THOMAS ALAN SPETALNICK (OD)?
For research purposes, treat THOMAS ALAN SPETALNICK (OD) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
What area does THOMAS ALAN SPETALNICK (OD) serve?
THOMAS ALAN SPETALNICK (OD)'s listing highlights Stockbridge, Georgia; more addresses can appear in NPPES.
Is the information about THOMAS ALAN SPETALNICK (OD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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