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NPI 1851763916
● Active Type 2 · Organization
Mary N, Brunner, Llc
Optometrist · Decatur, GA · NPI 1851763916
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Enumerated 2015 · 10 years on NPI
Mary N, Brunner, Llc is 1 of 2375 optometrist organizations in Georgia.
NPI age
10 years
Enumerated 2015-10-28
Primary specialty
Optometrist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Brunner
President
Last NPPES update
2015-10-28
Source: monthly bulk 2026-05
How this organization compares
Across 2375 active optometrist providers in Georgia.
NPI age
10 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
NPI lifetime · 2015 → 2026
2015-10 Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
4765 Memorial Dr
Decatur, GA 300321417
📞 4042962307
Mailing address
4765 Memorial Dr
Decatur, GA 300321417
📞 4042962307
Authorized official
Mary N Brunner, O.D.
President
📞 4042962307
Individual providers at this organization
2 individual providers on file at this primary practice address.
Dan Smyly , OPTICIAN
Technician/Technologist
NPI 1801916812
Otis Weaver , LICENSED OPTICIAN
Technician/Technologist
NPI 1801292016
Specialties
Optometrist
Primary
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as...
GA license #1170-T taxonomy 152W00000X
Practice context
Multi-provider organization.
2 individual providers on file at this primary address.
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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.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.