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Organization
MEL OPTICAL LLC
Active
Organization
MEL OPTICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL GARZA (CREDENTIALING MANAGER)
(210) 843-1393
Entity
Organization
Contact information
Practice address
3245 COBB PKWY NW STE 105, ACWORTH, GA 30101-3949
(956) 335-6476
Mailing address
1943 PLEASANT HILL RD, DULUTH, GA 30096-4625
(956) 335-6476
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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