1. Home
  2. Directory
  3. NPI Profile

BLAIRWOOD OPTICAL, LLC
NPI 1851056865
Eyewear Supplier in Portal, GA

Active since November 04, 2021
27184 US HIGHWAY 80 W, PORTAL, GA 30450(912) 865-5300(912) 865-5336 Get Directions Write a Review

NPPES record last updated: December 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 7, 2021, Nov 4, 2021 (2 updates tracked since 2021).

About Blairwood Optical, Llc NPPES

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

BLAIRWOOD OPTICAL, LLC (NPI 1851056865) is a healthcare organization registered as an eyewear supplier in Portal, Georgia and active in the NPI registry since November 2021. The organization lists Krystal Lynn Penley, C0 Owner, as its authorized official.

NPPES Registry Identity

NPI1851056865
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameBLAIRWOOD OPTICAL, LLC
Location Address27184 US HIGHWAY 80 WPortal, GA 30450-5247
Mailing AddressPo Box 710Portal, GA 30450-0710 · (912) 865-5300 · Fax (912) 865-5336
Phone(912) 865-5300
Fax(912) 865-5336
Organization SubpartNo
Authorized OfficialKrystal Lynn PenleyC0 Owner · (912) 865-5300
Enumeration DateNovember 4, 2021
Last NPPES UpdateDecember 7, 20212 updates tracked since enumeration
NPPES CertifiedDecember 7, 2021
✔ NPI 1851056865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Also ListedTechnician/Technologist · OpticianTaxonomy 156FX1800X
27184 US HIGHWAY 80 W, Portal, GA 30450
Open in Google Maps ↗

Other Identifiers 1

OtherLDO2341GA · Licensed Dispensing Optican

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blairwood Optical, LLC's NPI number?

The NPI number for Blairwood Optical, LLC is 1851056865. It was assigned to this organization in the NPPES registry on November 4, 2021.

Where is Blairwood Optical, LLC located?

Blairwood Optical, LLC is located at 27184 Us Highway 80 W, Portal, GA 30450. The listed phone number is (912) 865-5300.

What is Blairwood Optical, LLC's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

When was this NPI record last updated?

The NPPES record for Blairwood Optical, LLC was last updated on December 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.