IndividualActive
Benjamin Idiale, LDO
NPI 1417484510 · Optician · Stone Mountain, GA
Benjamin Idiale, LDO is a Optician provider in Stone Mountain, GA (NPI 1417484510).
Provider details
- NPI number
- 1417484510
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- LDO
- Sex
- Male
- Sole proprietor
- No
- License
- LDO002703 (GA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
5226 Stone Mountain Hwy Ste B
Stone Mountain, GA 30087-3455
Phone: (404) 578-9117
Street-level locationGet directions
Mailing address
5226 Stone Mountain Hwy Ste B
Stone Mountain, GA 30087-3455
Registry dates
- Enumerated
- 2017-05-19
- Last updated
- 2022-07-21
Frequently asked questions
- What is Benjamin Idiale's NPI number?
- Benjamin Idiale's National Provider Identifier (NPI) is 1417484510, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Benjamin Idiale's specialty?
- Benjamin Idiale is listed in the NPPES registry with a primary specialty of Optician (Eye and Vision Services Providers).
- Where is Benjamin Idiale located?
- Benjamin Idiale's practice location on file with NPPES is 5226 Stone Mountain Hwy Ste B, Stone Mountain, GA 30087-3455.
- What is Benjamin Idiale's phone number?
- The practice phone number listed in the NPPES registry for Benjamin Idiale is (404) 578-9117.
- Is Benjamin Idiale's NPI active?
- Yes — Benjamin Idiale's NPI (1417484510) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.