Atl Optical LLC
Eyewear Supplier (Equipment, not the service) in Douglasville, GA. Organization (NPI-2).
NPI number1437756459
StatusActive
Last updated in NPPESFeb 19, 2021
Details
- NPI
- 1437756459
- Entity type
- Organization (NPI-2)
- Legal business name
- Atl Optical LLC
- Organization subpart
- No
- Enumeration date
- Oct 2, 2020
- Certification date
- Feb 19, 2021
- Last updated
- Feb 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
Practice location
9380 The Landing Dr Ste BDouglasville, GA 30135-7177
Phone 561-275-2020 · Fax 561-828-8367
Mailing address
1943 Pleasant Hill RdDuluth, GA 30096-4625
Authorized official
Jackie Bennett
Credentialing Supervisor
5616124531
Is something wrong?
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All 6 Eyewear Supplier providers in Douglasville · All 2,137 providers in Douglasville
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