OrganizationActive
Envision Optics LLC
NPI 1346890100 · Eyewear Supplier · Kennesaw, GA
Provider details
- NPI number
- 1346890100
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Jackie Bennett, Credentialing Supervisor(561) 433-6009
Specialties & taxonomies
Suppliers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
440 Ernest W Barrett Pkwy Nw Ste 21
Kennesaw, GA 30144-4918
Phone: (404) 448-4745
Fax: (561) 828-8367
Street-level locationGet directions
Mailing address
1943 Pleasant Hill Rd
Duluth, GA 30096-4625
Other names (DBA / former)
- Doing business as
- My Eyelab
Registry dates
- Enumerated
- 2019-09-13
- Last updated
- 2021-02-17
- Certified
- 2021-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.