NPI age
19 years
Enumerated 2006-10-04
● Active
Type 1 · Individual
DR. Irby Dell Engram JR., OD
Engram is 1 of 4 optometrist providers in Clayton and 1 of 2375 in Georgia.
Primary specialty
Optometrist
Plus 1 subspecialty
Licensed in
GA, SC
2 states
Status
Active
No deactivations on record
Last NPPES update
2026-03-31
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 2375 active optometrist providers in Georgia.
NPI age
19 years
↑ 3 yr above median (16 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
0
15% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-10Enumerated in NPPES
2006
2026
Where they practice
Practice location
1455 Hwy 441 South
Clayton, GA 30525
Mailing address
Po Box 848
Clayton, GA 305250022
Specialties
-
Optometrist PrimaryDoctors 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00057967A | |
| 01 | 25977 | AVESIS |
| 05 (NC) | 89093NT |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.