NPI age
19 years
Enumerated 2007-05-08
● Active Type 2 · Organization
Anderson Professional Eyecare Llc
Anderson Professional Eyecare Llc is 1 of 526 eyewear supplier organizations in Georgia.
Primary specialty
Eyewear Supplier
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Anderson
Owner Licensed Dispensing Optician
Last NPPES update
2010-05-25
Source: monthly bulk 2026-05
How this organization compares
Across 526 active eyewear supplier providers in Georgia.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-05Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
412 Us Highway 80 Sw
Pooler, GA 313222541
Mailing address
412 Us Highway 80 Sw
Pooler, GA 313222541
Authorized official
Benjamin Duncan Anderson, LDO
Owner Licensed Dispensing Optician
📞 9127483937
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Kelly Osborne Social Worker NPI 1376389023
Specialties
-
Eyewear Supplier PrimaryAn organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 670525139A |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- 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.