IndividualActive
Otis Weaver, LICENSED OPTICIAN
NPI 1801292016 · Optician · Decatur, GA
Provider details
- NPI number
- 1801292016
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- LICENSED OPTICIAN
- Sex
- Male
- Sole proprietor
- Yes
- License
- LDO001204 (GA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
4765 Memorial Dr
Decatur, GA 30032-1417
Phone: (404) 296-2307
Street-level locationGet directions
Mailing address
5391 Radford Ln
Lithonia, GA 30038-2899
Registry dates
- Enumerated
- 2014-11-16
- Last updated
- 2014-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.