OrganizationActive
Atl Optical LLC
NPI 1679103220 · Eyewear Supplier · Fayetteville, GA
Atl Optical LLC is a Eyewear Supplier organization in Fayetteville, GA (NPI 1679103220).
Provider details
- NPI number
- 1679103220
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Jackie Bennett, Credentialing Manager(619) 357-6146
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
1135 Highway 85 N Ste D
Fayetteville, GA 30214-2085
Phone: (404) 448-4745
Fax: (561) 828-8367
Street-level locationGet directions
Mailing address
1943 Pleasant Hill Rd
Duluth, GA 30096-4625
Registry dates
- Enumerated
- 2020-01-23
- Last updated
- 2021-02-19
- Certified
- 2021-02-19
Frequently asked questions
- What is Atl Optical LLC's NPI number?
- Atl Optical LLC's National Provider Identifier (NPI) is 1679103220, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Atl Optical LLC?
- Atl Optical LLC is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is Atl Optical LLC located?
- Atl Optical LLC's practice location on file with NPPES is 1135 Highway 85 N Ste D, Fayetteville, GA 30214-2085.
- What is Atl Optical LLC's phone number?
- The practice phone number listed in the NPPES registry for Atl Optical LLC is (404) 448-4745.
- Who is the authorized official for Atl Optical LLC?
- The authorized official listed on Atl Optical LLC's NPPES record is Jackie Bennett, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Atl Optical LLC's NPI active?
- Yes — Atl Optical LLC's NPI (1679103220) is active in the NPPES registry as of the last update on 2021-02-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.