Fayette Medical Clinic Optical Shop
NPI 1891910618 · Ophthalmology Physician · Fayetteville, GA
Fayette Medical Clinic Optical Shop is a Ophthalmology Physician organization in Fayetteville, GA (NPI 1891910618).
Provider details
- NPI number
- 1891910618
- Entity type
- Organization
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Rick Rodecker, Administrator(404) 351-2220
- License
- 20001558 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2007-04-16
- Last updated
- 2021-06-03
- Certified
- 2021-06-03
Frequently asked questions
- What is Fayette Medical Clinic Optical Shop's NPI number?
- Fayette Medical Clinic Optical Shop's National Provider Identifier (NPI) is 1891910618, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fayette Medical Clinic Optical Shop?
- Fayette Medical Clinic Optical Shop is classified in the NPPES registry as Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is Fayette Medical Clinic Optical Shop located?
- Fayette Medical Clinic Optical Shop's practice location on file with NPPES is 101 Yorktown Dr Ste 225, Fayetteville, GA 30214-1568.
- What is Fayette Medical Clinic Optical Shop's phone number?
- The practice phone number listed in the NPPES registry for Fayette Medical Clinic Optical Shop is (770) 460-2331.
- Who is the authorized official for Fayette Medical Clinic Optical Shop?
- The authorized official listed on Fayette Medical Clinic Optical Shop's NPPES record is Rick Rodecker, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fayette Medical Clinic Optical Shop's NPI active?
- Yes — Fayette Medical Clinic Optical Shop's NPI (1891910618) is active in the NPPES registry as of the last update on 2021-06-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.