NPI age
4 years
Enumerated 2021-11-04
● Active Type 2 · Organization
Blairwood Optical, Llc
Blairwood Optical, Llc is 1 of 526 eyewear supplier organizations in Georgia.
Primary specialty
Eyewear Supplier
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Penley
C0 Owner
Last NPPES update
2021-12-07
Source: monthly bulk 2026-05
How this organization compares
Across 526 active eyewear supplier providers in Georgia.
NPI age
4 years
↓ 15 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 26% of peers with subspecialties
NPI lifetime · 2021 → 2026
2021-11Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
27184 Us Highway 80 W
Portal, GA 304505247
Mailing address
Po Box 710
Portal, GA 304500710
Authorized official
Krystal Lynn Penley, LDO2341
C0 Owner
📞 9128655300
Specialties
-
Eyewear Supplier PrimaryAn organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
-
Technician/TechnologistOpticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | LDO2341 | LICENSED DISPENSING OPTICAN |
Practice context
Single-site organization. Only one practice location on file.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.