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MR. OTIS WEAVER LICENSED OPTICIAN
NPI 1801292016
Technician/Technologist - Optician in Decatur, GA

Active since November 16, 2014
4765 MEMORIAL DR, DECATUR, GA 30032(404) 296-2307 Get Directions Write a Review

NPPES record last updated: November 16, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Otis Weaver Licensed Optician NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. OTIS WEAVER LICENSED OPTICIAN (NPI 1801292016) is an individual optician in Decatur, Georgia, licensed in Georgia (LDO001204) and active in the NPI registry since November 2014.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1801292016
Entity TypeIndividualMale
Primary Taxonomy156FX1800X
Provider Legal NameMR. OTIS WEAVERCredential: LICENSED OPTICIAN
Location Address4765 MEMORIAL DRDecatur, GA 30032-1417
Mailing Address5391 Radford LnLithonia, GA 30038-2899 · (404) 219-4309
Phone(404) 296-2307
Sole ProprietorYes
Enumeration DateNovember 16, 2014
✔ NPI 1801292016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician/Technologist · OpticianEye and Vision Services Providers
Taxonomy Code156FX1800X
License✔ Licensed in GA · LDO001204
Definition

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.

4765 MEMORIAL DR, Decatur, GA 30032
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Reviews for MR. OTIS WEAVER LICENSED OPTICIAN

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

MR. DAN MARTIN SMYLY OPTICIAN
Technician/Technologist (Optician)
4765 MEMORIAL DR
DECATUR, GA 30032
Dekalb County (404) 296-2307
MARY N, BRUNNER, LLC
Optometrist
4765 MEMORIAL DR
DECATUR, GA 30032
Dekalb County (404) 296-2307

Frequently Asked Questions

What is Otis Weaver's NPI number?

The NPI number assigned to this healthcare provider is 1801292016, enumerated as an "individual" on November 16, 2014.

Where is the provider located?

The provider is located at 4765 MEMORIAL DR DECATUR, GA 30032 and the phone number is (404) 296-2307.

What is the provider's specialty?

Technician/Technologist with taxonomy code 156FX1800X and a focus in Optician.