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Active NPI 1801292016 Individual Practitioner Male Practitioner

Otis Weaver , LICENSED OPTICIAN

Technician/Technologist - Optician • Decatur, GA

Professional Overview & Biography Verified Profile Summary

Otis Weaver, LICENSED OPTICIAN is a registered healthcare professional specializing in Technician/Technologist - Optician in Decatur, GA. Practice services are available at 4765 MEMORIAL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4765 Memorial Dr

Decatur, GA 300321417

Telephone 4042962307
Associated Practice Facility / Clinic
🏢 Mary N, Brunner, Llc Facility NPI 1851763916

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician/Technologist - Optician in Decatur, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
9 Specialists

Practicing in Decatur, GA (274 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Technician/Technologist - Optician Primary Specialty

NUCC Taxonomy Code: 156FX1800X

State License GA LDO001204

Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dan Smyly , OPTICIAN

Technician/Technologist - Optician

NPI 1801916812

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 16, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location November 16, 2014

Registered at 4765 MEMORIAL DR, DECATUR, GA 300321417 (Tel: 4042962307)

📍
Updated Business Mailing Address November 16, 2014

Registered at 5391 RADFORD LN, LITHONIA, GA 300382899 (Tel: 4042194309)

👤
Provider Name / Credentials Updated November 16, 2014

Recorded as OTIS WEAVER, LICENSED OPTICIAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2014

Technician/Technologist (License #LDO001204 in GA)

🟢
Initial NPI Registration & Enumeration November 16, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801292016
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2014
Last Update: November 16, 2014
Sole Proprietor: Yes

Mailing Address

5391 Radford Ln

Lithonia, GA 300382899

Phone: 4042194309

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.