Organization
ATL OPTICAL LLC
Active
Other names
My EyeLab
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL GARZA (CREDENTIALING MANAGER)
(561) 720-6423
Entity
Organization
Contact information
Practice address
2157 ROSWELL RD, MARIETTA, GA 30062-3814
(561) 275-2020
(561) 828-8367
Mailing address
1943 PLEASANT HILL RD, DULUTH, GA 30096-4625
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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