OPTICA LATINA, LLC
NPI 1992042972
Optometrist in Lilburn, GA

Q: What is Optica Latina, LLC's NPI number?

The NPI number for Optica Latina, LLC is 1992042972. It was assigned to this organization in the NPPES registry on January 10, 2013.

Q: What is Optica Latina, LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since January 10, 2013

4485 LAWRENCEVILLE HWY NW, SUITE 206, LILBURN, GA 30047(770) 674-1712(770) 687-2921 Get Directions Write a Review

NPPES record last updated: January 10, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Optica Latina, Llc NPPES

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

OPTICA LATINA, LLC (NPI 1992042972) is a healthcare organization registered as an optometrist in Lilburn, Georgia and active in the NPI registry since January 2013. The organization lists Leonel E Coello, Owner, as its authorized official.

NPPES Registry Identity

NPI1992042972

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameOPTICA LATINA, LLC

Location Address4485 LAWRENCEVILLE HWY NW, SUITE 206Lilburn, GA 30047-3669

Mailing Address4485 Lawrenceville Hwy Nw, Suite 206Lilburn, GA 30047-3669 · (770) 674-1712 · Fax (770) 687-2921

Phone(770) 674-1712

Fax(770) 687-2921

Organization SubpartNo

Authorized OfficialLeonel E CoelloOwner · (770) 815-1915

Enumeration DateJanuary 10, 2013

✔ NPI 1992042972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in GA · OPT002681

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Also ListedTechnician/Technologist · OpticianTaxonomy 156FX1800X · License LDO001948 (GA)

4485 LAWRENCEVILLE HWY NW, Lilburn, GA 30047

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Optica Latina, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Optica Latina, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mary Coello, O.D.

Optometry

NPI 1679845739

4166 BUFORD HWY NE PLAZA FIESTA MALL SUITE S6-T5
Atlanta, GA 30345

(404) 855-3888

✔ PECOS✔ Accepts Medicare10 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Optica Latina, LLC's NPI number?

The NPI number for Optica Latina, LLC is 1992042972. It was assigned to this organization in the NPPES registry on January 10, 2013.

Where is Optica Latina, LLC located?

Optica Latina, LLC is located at 4485 Lawrenceville Hwy NW Suite 206, Lilburn, GA 30047. The listed phone number is (770) 674-1712.

What is Optica Latina, LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Optica Latina, LLC enrolled in Medicare?

Yes. Optica Latina, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Optica Latina, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Optica Latina, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Optica Latina, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Optica Latina, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Optica Latina, LLC was last updated on January 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.