Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

111721 Delaware Acquireco Inc.

Eyewear Supplier in Atlanta, GA · enumerated 2023 · authorized official Tyler Wixson, Director of Retail.

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

National Provider Identifier

1720862857

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Registry record

Entity type Organization (Type 2)

Legal business name 111721 Delaware Acquireco Inc.

Practice address 5975 Roswell Rd, Atlanta, GA, 30328

Phone (404) 252-4111

Enumeration date Aug 21, 2023

Last updated in NPPES Aug 21, 2023

Taxonomy & classification

332H00000X Eyewear Supplier Suppliers Primary

Authorized official

Name Tyler Wixson

Title Director of Retail

Phone (561) 212-6707

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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-08-21. Verify at npiregistry.cms.hhs.gov.

Where is 111721 Delaware Acquireco Inc. located?

The practice location on file with NPPES is in Atlanta, GA.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-08-21.