MEDICARE: SPECTOPIA OPTICAL GROUP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332H00000X	Eyewear Supplier

General Provider Information

NPI Number	:	1174896393
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPECTOPIA OPTICAL GROUP

Provider Business Mailing Address
First Line	:	2025 PEACHTREE RD NE
Second Line	:	SUITE 1121
City	:	ATLANTA
State	:	GA
Zip	:	30309-1413
Country	:	US
Telephone Number	:	404-731-0636
Fax Number	:

Provider Business Practice Location Address
First Line	:	2025 PEACHTREE RD NE
Second Line	:	SUITE 1121
City	:	ATLANTA
State	:	GA
Zip	:	30309-1413
Country	:	US
Telephone Number	:	404-731-0636
Fax Number	:

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	MR. ALI HONEYCUTT
Credential	:
Telephone Number	:	404-731-0636

Provider Enumeration Date	:	02/19/2012
Last Update Date	:	02/19/2012

Similar Medicare Providers

1194022251 — PERFECTION HEALTH CARE L.L.C
Practice Location Address:

2025 PEACHTREE RD NE , APT 1424
ATLANTA, GA
30309-1413

Practice Phone: 404-447-3005
Practice Fax:

1790059160 — MR. LEE COOK L.D.O.
Practice Location Address:

2025 PEACHTREE RD NE , SUITE 1121
ATLANTA, GA
30309-1413

Practice Phone: 678-463-0868
Practice Fax:

1225962764 — AMANDA J PLANCHARD LCSW
Practice Location Address:

1413 MCGILL PARK AVE NE
ATLANTA, GA
30312-4202

Practice Phone: 404-538-3883
Practice Fax:

1407860323 — OVIE E UGHWANOGHO MD
Practice Location Address:

1413 CLEVELAND AVENUE
ATLANTA, GA
30344-3417

Practice Phone: 404-768-2669
Practice Fax: 404-768-3479

1194250647 — KIMBERLY SANDERS
Practice Location Address:

803 MAGNOLIA WAY NW APT 1413
ATLANTA, GA
30314-5001

Practice Phone: 678-505-0262
Practice Fax:

1174976112 — NICOLE ZAVODNICK PA
Practice Location Address:

1968 PEACHTREE RD NW BLDG 775TH
ATLANTA, GA
30309-1281

Practice Phone: 404-605-4600
Practice Fax:

Directions to “SPECTOPIA OPTICAL GROUP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.