111721 Delaware Acquireco INC.
Eyewear Supplier (Equipment, not the service) in Atlanta, GA. Organization (NPI-2).
NPI number1720862857
StatusActive
Last updated in NPPESAug 21, 2023
Details
- NPI
- 1720862857
- Entity type
- Organization (NPI-2)
- Legal business name
- 111721 Delaware Acquireco INC.
- Organization subpart
- No
- Enumeration date
- Aug 21, 2023
- Certification date
- Aug 21, 2023
- Last updated
- Aug 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
Other names
- The Eye Gallery (Doing Business As)
Practice location
5975 Roswell RdAtlanta, GA 30328-4048
Phone 404-252-4111
Mailing address
5000 Sw 75th Ave Ste 202Miami, FL 33155-4468
Phone 561-212-6707
Authorized official
Tyler Wixson
Director Of Retail
5612126707
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