OrganizationActive
Blairwood Optical, LLC
NPI 1851056865 · Eyewear Supplier · Portal, GA
Provider details
- NPI number
- 1851056865
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Krystal Penley, C0 Owner(912) 865-5300
Specialties & taxonomies
Suppliers
- Optician156FX1800X
Eye and Vision Services Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
27184 US Highway 80 W
Portal, GA 30450-5247
Phone: (912) 865-5300
Fax: (912) 865-5336
Street-level locationGet directions
Mailing address
Po Box 710
Portal, GA 30450-0710
Registry dates
- Enumerated
- 2021-11-04
- Last updated
- 2021-12-07
- Certified
- 2021-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.