Organization
MEL VISION LLC
Active
Other names
My EyeLab
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE BENNETT (CREDENTIALING SUPERVISOR)
(561) 433-6009
Entity
Organization
Contact information
Practice address
2550 CROSS TIMBERS RD STE 112, FLOWER MOUND, TX 75028-2749
(561) 275-2020
Mailing address
2199 GLENMORE LN, SNELLVILLE, GA 30078-5611
(561) 275-2020
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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