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Organization

ATL OPTICAL LLC

Active
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Organization

ATL OPTICAL LLC

Active
Other names
My EyeLab
Organization subpart
No

Provider details

NPI number
Authorized official
JACKIE BENNETT (CREDENTIALING SUPERVISOR)
(561) 443-6009
Entity
Organization

Contact information

Practice address
5413 US-280, SUITE 103, HOOVER, AL 35242
(956) 335-6476
Mailing address
1943 PLEASANT HILL RD, DULUTH, GA 30096-4625

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
332H00000X
Eyewear Supplier
Primary
—
—

Other

Enumeration date
11/09/2021
Last updated
11/09/2021
About Stedi
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