Provider Demographics
NPI:1538113600
Name:SPINDEL, GILBERT DONALD JR (OD, FAAO)
Entity Type:Individual
Prefix:DR
First Name:GILBERT
Middle Name:DONALD
Last Name:SPINDEL
Suffix:JR
Gender:M
Credentials:OD, FAAO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1725 PROVIDENCE PLACE DR
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30009-3560
Mailing Address - Country:US
Mailing Address - Phone:770-442-1661
Mailing Address - Fax:770-664-0041
Practice Address - Street 1:4505 ASHFORD DUNWOODY ROAD
Practice Address - Street 2:SUITE 15
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30346-1516
Practice Address - Country:US
Practice Address - Phone:678-666-5076
Practice Address - Fax:678-666-5076
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-21
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA770152WC0802X
GAOPT000770152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00061575BMedicaid
GA00061575BMedicaid