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Atl Optical LLC

Eyewear Supplier in Atlanta, GA · enumerated 2021 · authorized official Jackie Bennett, Credentialing Supervisor.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154085306

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Registry record

Entity type Organization (Type 2)
Legal business name Atl Optical LLC
Practice address 1671 Howell Mill Rd Nw, Atlanta, GA, 30318
Enumeration date Oct 25, 2021
Last updated in NPPES Oct 25, 2021

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers Secondary
332H00000X Eyewear Supplier Suppliers Primary

Authorized official

Name Jackie Bennett
Title Credentialing Supervisor

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Atl Optical LLC?
The NPI for Atl Optical LLC is 1154085306, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Atl Optical LLC?
NPPES lists Jackie Bennett (Credentialing Supervisor) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-10-25.