OrganizationActive
111721 Delaware Acquireco Inc.
NPI 1720862857 · Eyewear Supplier · Atlanta, GA
111721 Delaware Acquireco Inc. is a Eyewear Supplier organization in Atlanta, GA (NPI 1720862857).
Provider details
- NPI number
- 1720862857
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Tyler Wixson, Director of Retail(561) 212-6707
Specialties & taxonomies
Suppliers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
5975 Roswell Rd
Atlanta, GA 30328-4048
Phone: (404) 252-4111
Street-level locationGet directions
Mailing address
5000 Sw 75th Ave Ste 202
Miami, FL 33155-4468
Other names (DBA / former)
- Doing business as
- The Eye Gallery
Registry dates
- Enumerated
- 2023-08-21
- Last updated
- 2023-08-21
- Certified
- 2023-08-21
Frequently asked questions
- What is 111721 Delaware Acquireco Inc.'s NPI number?
- 111721 Delaware Acquireco Inc.'s National Provider Identifier (NPI) is 1720862857, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 111721 Delaware Acquireco Inc.?
- 111721 Delaware Acquireco Inc. is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is 111721 Delaware Acquireco Inc. located?
- 111721 Delaware Acquireco Inc.'s practice location on file with NPPES is 5975 Roswell Rd, Atlanta, GA 30328-4048.
- What is 111721 Delaware Acquireco Inc.'s phone number?
- The practice phone number listed in the NPPES registry for 111721 Delaware Acquireco Inc. is (404) 252-4111.
- Who is the authorized official for 111721 Delaware Acquireco Inc.?
- The authorized official listed on 111721 Delaware Acquireco Inc.'s NPPES record is Tyler Wixson, Director of Retail. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 111721 Delaware Acquireco Inc.'s NPI active?
- Yes — 111721 Delaware Acquireco Inc.'s NPI (1720862857) is active in the NPPES registry as of the last update on 2023-08-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.